Organization
WALGREEN CO.
Active
Parent organization
WALGREEN CO.
Other names
Walgreens #13034
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO.
Authorized official
MR. KERMIT R CRAWFORD (SENIOR VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
528 W TENNESSEE AVE., PINEVILLE, KY 40977
(865) 769-1790
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 554-8786
(217) 554-8546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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