Organization
SUPER D DRUGS ACQUISITION CO
Active
Parent organization
WALGREEN CO
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KERMIT R CRAWFORD (PRESIDENT)
(847) 315-3154
Entity
Organization
Contact information
Practice address
3022 N MIDLAND DR, PINE BLUFF, AR 71603-4829
(217) 709-2386
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
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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