Organization
WALGREEN CO.
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #11578
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
14210 SCOTTSLAWN ROAD, MARYSVILLE, OH 43041
(937) 642-4606
Mailing address
1901 E VOORHEES ST, MS #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
021700200
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3675886
NCPDP
—
Enumeration date
05/03/2007
Last updated
11/06/2023
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