Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WAGLREENS #12572
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
12000 SUNRISE VALLEY DR, RESTON, VA 20191-3403
(703) 476-6512
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
0201004208
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679758049
—
VA
01
—
4840701
NCPDP
—
Enumeration date
01/04/2008
Last updated
12/15/2011
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