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Organization

WALGREEN CO

Active
Parent organization
WALGREEN CO
Other names
WALGREEN DRUG STORE
Organization subpart
Yes

Provider details

NPI number
Legal business name
WALGREEN CO
Authorized official
MR. DONALD C HUONKER JR. (CORPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization

Contact information

Practice address
14301 GRATIOT AVE, DETROIT, MI 48205-2303
(313) 371-2450
Mailing address
1901 E VOORHEES ST, MAILSTOP #720, DANVILLE, IL 61834-4509
(217) 554-8964
(217) 554-8546

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
5301007142
MI
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2360826
OTHER ID NUMBER-COMMERCIAL NUMBER
05
4168950
MI
05
4808539 DME
MI
Enumeration date
07/29/2006
Last updated
11/14/2007
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