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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