Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #16141
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
816 N MAIN ST, FUQUAY VARINA, NC 27526-2067
(919) 552-4248
Mailing address
1901 E VOORHEES ST, M/S 790, DANVILLE, IL 61834-4509
(217) 709-2386
(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
05
—
1568898419
—
NC
01
—
3462405
NCPDP
NC
Enumeration date
09/24/2013
Last updated
10/18/2016
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