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 (COPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
300 E HOUSTON ST, SAN ANTONIO, TX 78205-1816
(210) 225-2619
(210) 225-2376
Mailing address
1901 E VOORHEES ST, MS 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
10735
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1210234
—
LA
01
—
4501032
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
462316
—
TX
Enumeration date
07/29/2006
Last updated
08/20/2007
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