Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
walgreens #02126
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
1414 EL CAMINO REAL, SAN CARLOS, CA 94070-5102
(650) 637-9777
(650) 637-1012
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
333600000X
Pharmacy
Primary
PHY35432
CA
3336C0003X
Community/Retail Pharmacy
PHY35432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA354320
—
CA
Enumeration date
11/09/2011
Last updated
11/09/2011
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