Organization

Walgreen Co

May also be knows as Walgreens #12344

Pharmacy in South Bend, IN(View on Map)

Legal Business Name

Walgreen Co

Also Known As

Walgreens #12344

NPI Number

1659386779

NPI Type

Organization

Enumeration Date

07/29/2006

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Indiana

License Number

60003628

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
1945 LINCOLNWAY EAST

City

Danville
South Bend

State

IL
IN

Postal Code

61834-4509
46613

Country

US
US

Telephone Number

(217) 709-2386
(574) 232-9540

Authorized Official

Name

Mr. Alan Nielsen

Title or Position

TREASURER

Telephone Number

(847) 315-3523

Identifiers

Identifier

100307840A DME
100307840
868861300
1524796

Identifier State

IN
IN
MN
Unknown

Identifier Issuer

Unknown
Unknown
Unknown
OTHER ID NUMBER-COMMERCIAL NUMBER

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

Data last updated by provider on 01/12/2016

Provider Address

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