Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #11248
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
3545 W 86TH ST., INDIANAPOLIS, IN 46268-1930
(608) 833-0415
Mailing address
1901 E VOORHEES ST, MAIL STOP #720, DANVILLE, IL 61834-4509
(217) 554-8494
(217) 554-8546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
600004383A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100365790A
—
IN
01
—
1530840
NCPDP
—
Enumeration date
08/08/2007
Last updated
06/05/2008
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