Organization
WALGREEN CO.
Active
Parent organization
WALGREEN CO.
Other names
Coushatta Family Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO.
Authorized official
MR. KERMIT R CRAWFORD (SENIOR VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
287 PANTHER TRAIL, KINDER, LA 70648
(337) 738-3095
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
6189
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1934721
NCPDP
—
Enumeration date
09/08/2009
Last updated
10/27/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us