Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #07949
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
706 E SELTICE WAY, POST FALLS, ID 83854-8674
(208) 777-4071
(208) 773-0913
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
38644RP
ID
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307366
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2015170
—
WA
05
—
806769200
—
ID
Enumeration date
07/29/2006
Last updated
06/08/2022
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