Organization
WALGREEN CO
Active
Parent organization
W
Other names
WALGREENS #07789
Organization subpart
Yes
Provider details
NPI number
Legal business name
W
Authorized official
VIRGINIA GARZA (MANAGER)
(217) 709-2364
Entity
Organization
Contact information
Practice address
3200 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-5300
(816) 220-8455
(816) 220-8807
Mailing address
1901 E VOORHEES ST # MS 790, DANVILLE, IL 61834-4509
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2003031302
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635300
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
606104800
—
MO
01
—
626104806
DME
MO
Enumeration date
07/29/2006
Last updated
06/05/2024
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