Legal Business Name
Walgreen Co.
Also Known As
Walgreens #15531
NPI Number
1215177910
NPI Type
Organization
Enumeration Date
02/20/2009
Specialties
(Taxonomies)Code
333600000X
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Hawaii
License Number
PHY770
Contact
Information
Purpose
Mailing
Location
Address
1901 E VOORHEES ST
94-223 FARRINGTON HWY
City
Danville
Waipahu
State
IL
HI
Postal Code
61834-4509
96797-2254
Country
US
US
Telephone Number
(217) 709-2351
(808) 676-2230
Authorized Official
Name
Kira Taylor
Title or Position
MANAGER
Telephone Number
(217) 709-2351
Identifiers
Identifier
63139201
1240338
Identifier State
HI
Unknown
Identifier Issuer
Unknown
NCPDP
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/29/2022
Provider Address
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