Organization
WALGREEN EASTERN CO INC
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #01879
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
2151 LEMOINE AVE, FORT LEE, NJ 07024
(201) 947-6772
(201) 947-6525
Mailing address
1901 E VOORHEES ST, MAILSTOP #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
RS003819
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3127772
NCPDP
NJ
05
—
4375106
—
NJ
Enumeration date
07/29/2006
Last updated
08/27/2024
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