Organization
WALGREEN CO.
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #15119
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (PRESIDENT, PHARMACY SERVICES)
(847) 315-3154
Entity
Organization
Contact information
Practice address
7101 JAHNKE RD, STE 100, RICHMOND, VA 23225-4017
(804) 560-1092
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
0201004125
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010374318 DME
—
VA
05
—
010374359
—
VA
05
—
1285795880
—
VA
01
—
4839695
NCPDP
VA
Enumeration date
12/13/2006
Last updated
04/09/2012
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