Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #9230
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
618 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6707
(864) 962-1839
Mailing address
1901 E VOORHEES ST, MAILSTOP #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
50008078
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4225531
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
715826
—
SC
05
—
DE2700 DME
—
SC
Enumeration date
07/29/2006
Last updated
06/10/2022
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