Organization
WALGREEN CO
Active
Other names
WALGREEN DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD C HUONKER (CORPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
4330 BROADWAY, GARY, IN 46408-3304
(219) 884-3630
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
Primary
—
—
333600000X
Pharmacy
60003271
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1524722
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
09/11/2025
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