Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #15578
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
3397 LAS VEGAS BLVD S, STE 1, LAS VEGAS, NV 89109-8902
(702) 473-7395
(702) 754-2527
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2993500
NCPDP
NV
Enumeration date
10/06/2014
Last updated
04/29/2022
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