Organization
WALGREEN CO.
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #11577
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (PRESIDENT)
(847) 315-3154
Entity
Organization
Contact information
Practice address
67 SANDY DESERT RD, UNCASVILLE, CT 06382-1111
(860) 887-5189
Mailing address
1901 E VOORHEES ST, MS #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
PCY0001934
CT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0720804
NCPDP
—
Enumeration date
04/26/2007
Last updated
08/05/2011
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