Organization
WALGREEN CO
Active
Other names
WALGREEN DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA GONZALEZ (SUPERVISOR)
(217) 554-8964
Entity
Organization
Contact information
Practice address
20145 VAN AKEN BLVD, SHAKER HEIGHTS, OH 44122-3618
(216) 921-6042
(216) 921-3677
Mailing address
20145 VAN AKEN BLVD, SHAKER HEIGHTS, OH 44122-3618
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
21555100
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2610295
—
OH
01
—
3673995
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/02/2006
Last updated
09/11/2025
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