Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #06428
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. ALAN T NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization
Contact information
Practice address
15385 N DYSART RD, EL MIRAGE, AZ 85335-9761
(623) 583-8248
Mailing address
1901 E VOORHEES ST, MS 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
Y03447
AZ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326226
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
362312887507
—
IL
05
—
619124
—
AZ
Enumeration date
07/29/2006
Last updated
12/01/2015
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