Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #13776
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (SR VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
999 N CURTIS RD, SUITE 102, BOISE, ID 83706-1336
(208) 367-4847
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 554-8786
(217) 554-8546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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