Legal Business Name
Walgreen Co
Also Known As
Walgreens #21202
NPI Number
1174096192
NPI Type
Organization
Enumeration Date
01/03/2019
Specialties
(Taxonomies)Code
333600000X
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
1901 E VOORHEES ST
1001 CALUMET AVE
City
Danville
Dyer
State
IL
IN
Postal Code
61834-4509
46311-1596
Country
US
US
Telephone Number
(217) 709-2351
(219) 227-3557
Authorized Official
Name
Kira Taylor
Title or Position
MANAGER
Telephone Number
(217) 709-2351
Identifiers
Identifier
1569601
300024412
Identifier State
IN
IN
Identifier Issuer
NCPDP
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/13/2022
Provider Address
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