Organization

Walgreen Co

May also be knows as Walgreens #15776

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

Legal Business Name

Walgreen Co

Also Known As

Walgreens #15776

NPI Number

1740364884

NPI Type

Organization

Enumeration Date

10/25/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Oklahoma

License Number

2193

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
4423 SOUTHWEST BLVD

City

Danville
Tulsa

State

IL
OK

Postal Code

61834-4509
74107-6472

Country

US
US

Telephone Number

(217) 709-2351
(918) 446-3541

Authorized Official

Name

Kira Taylor

Title or Position

MANAGER

Telephone Number

(217) 709-2351

Identifiers

Identifier

100246210G
3700425
100233260H
400522490

Identifier State

OK
Unknown
OK
OK

Identifier Issuer

MEDICAID DME
OTHER ID NUMBER-COMMERCIAL NUMBER
Unknown
MEDICARE FLU

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

Data last updated by provider on 05/02/2022

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