Legal Business Name
Walgreen Co
Also Known As
Walgreens #03771
NPI Number
1255346227
NPI Type
Organization
Enumeration Date
07/29/2006
Specialties
(Taxonomies)Code
333600000X
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Oklahoma
License Number
2-4046
Contact
Information
Purpose
Mailing
Location
Address
1901 E VOORHEES ST
7111 S LEWIS AVE
City
Danville
Tulsa
State
IL
OK
Postal Code
61834-4509
74136-5402
Country
US
US
Telephone Number
(217) 709-2351
(918) 481-5066
Authorized Official
Name
Kira Taylor
Title or Position
MANAGER
Telephone Number
(217) 709-2351
Identifiers
Identifier
3720516
100244340A
100797120A DME
Identifier State
Unknown
OK
OK
Identifier Issuer
OTHER ID NUMBER-COMMERCIAL NUMBER
Unknown
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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