Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #06130
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
VIRGINIA GARZA (MANAGER)
(217) 709-2364
Entity
Organization
Contact information
Practice address
3700 UNIVERSITY AVE, MADISON, WI 53705-2144
(608) 238-7109
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2364
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
8112
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33022800
—
WI
01
—
5114690
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
06/25/2024
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