Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
Associate Family Pharmacy
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
415 BROCKMAN MCCLIMON RD, STE B, GREER, SC 29651-6608
(864) 801-0411
(864) 801-0499
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
333600000X
Pharmacy
Primary
10272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4225872
NABP NCPDP
SC
05
—
715800
—
SC
Enumeration date
02/28/2007
Last updated
03/07/2023
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