Organization

Walgreen Co

May also be knows as Walgreens #15778

Community/Retail Pharmacy in Tulsa, OK(View on Map)

Legal Business Name

Walgreen Co

Also Known As

Walgreens #15778

NPI Number

1629152772

NPI Type

Organization

Enumeration Date

10/25/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Oklahoma

License Number

24344

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
6336 E 4TH PL

City

Danville
Tulsa

State

IL
OK

Postal Code

61834-4509
74112-1727

Country

US
US

Telephone Number

(217) 709-2386
(918) 833-5180

Authorized Official

Name

Mr. Alan Nielsen

Title or Position

TREASURER

Telephone Number

(847) 315-3523

Identifiers

Identifier

100241490S
3721962
400522489
200077890D

Identifier State

OK
Unknown
OK
OK

Identifier Issuer

Unknown
OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICARE FLU
MEDICAID DME

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/27/2016

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