Legal Business Name
Walgreen Co
Also Known As
Walgreens #05194
NPI Number
1750396875
NPI Type
Organization
Enumeration Date
07/29/2006
Specialties
(Taxonomies)Code
333600000X
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Indiana
License Number
60003211
Contact
Information
Purpose
Mailing
Location
Address
1901 E VOORHEES ST
1704 E COMMERCIAL AVE
City
Danville
Lowell
State
IL
IN
Postal Code
61834-4509
46356-2111
Country
US
US
Telephone Number
(217) 709-2351
(219) 696-6638
Authorized Official
Name
Kira Taylor
Title or Position
MANAGER
Telephone Number
(217) 709-2351
Identifiers
Identifier
100308110A DME
1523718
100308110
Identifier State
IN
Unknown
IN
Identifier Issuer
Unknown
OTHER ID NUMBER-COMMERCIAL NUMBER
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/25/2022
Provider Address
Other Pharmacy in Lowell, Indiana:
Horizon Pharmacy Of Lowell Llc
May also be known as Horizon Pharmacy Of Lowell
Lowell, INSpecialties: Community/Retail Pharmacy (Primary)Pharmacy