Organization

Walgreen Co

May also be knows as Walgreens # 11453

Pharmacy in Goshen, IN(View on Map)

Legal Business Name

Walgreen Co

Also Known As

Walgreens # 11453

NPI Number

1124205117

NPI Type

Organization

Enumeration Date

01/22/2008

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Indiana

License Number

60006117A

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
1755 LINCOLNWAY E

City

Danville
Goshen

State

IL
IN

Postal Code

61834-4509
46526-6425

Country

US
US

Telephone Number

(217) 709-2351
(574) 533-4932

Authorized Official

Name

Kira Taylor

Title or Position

MANAGER

Telephone Number

(217) 709-2351

Identifiers

Identifier

1561946
200891580A

Identifier State

Unknown
IN

Identifier Issuer

NCPDP
Unknown

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

Data last updated by provider on 11/03/2023

Provider Address

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