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Organization

WALGREEN CO

Active
Parent organization
WALGREEN CO
Other names
WALGREENS #05706
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
6980 E HOLMES RD, MEMPHIS, TN 38141-8506
(901) 309-5766
Mailing address
1901 E VOORHEES ST, MAILSTOP #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
3627
TN
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4434748
OTHER ID NUMBER-COMMERCIAL NUMBER
05
4434748
TN
Enumeration date
08/02/2006
Last updated
11/26/2015
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