Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
Pharmacy for Living Well
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
1313 S HARBOR BLVD, BLDG H-8 2ND LEVEL, ANAHEIM, CA 92802-2309
(657) 208-5485
(714) 224-0172
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
51529
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5647625
NCPDP
FL
Enumeration date
05/16/2013
Last updated
05/03/2022
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