Organization

Walgreen Co

May also be knows as Walgreens #15812

Pharmacy in Tulsa, OK(View on Map)

Legal Business Name

Walgreen Co

Also Known As

Walgreens #15812

NPI Number

1457435596

NPI Type

Organization

Enumeration Date

10/25/2006

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Oklahoma

License Number

23312

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
6505 E 71ST ST

City

Danville
Tulsa

State

IL
OK

Postal Code

61834-4509
74133-2755

Country

US
US

Telephone Number

(217) 709-2351
(918) 492-3650

Authorized Official

Name

Kira Taylor

Title or Position

MANAGER

Telephone Number

(217) 709-2351

Identifiers

Identifier

400522489
200077890L
100236540T
3716404

Identifier State

OK
OK
OK
Unknown

Identifier Issuer

MEDICARE FLU
MEDICAID DME
Unknown
OTHER ID NUMBER-COMMERCIAL NUMBER

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

Data last updated by provider on 05/03/2022

Provider Address

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