Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
ASSOCIATES PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (EXEC VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
795 WOODLAKE RD, STE C, KOHLER, WI 53044-1322
(920) 459-8768
Mailing address
1901 E VOORHEES ST, M/S 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
7332-042
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
05/01/2009
Last updated
09/13/2010
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