Legal Business Name
Walgreen Co
Also Known As
Walgreens #16026
NPI Number
1952713596
NPI Type
Organization
Enumeration Date
06/02/2014
Specialties
(Taxonomies)Code
333600000X
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Oklahoma
License Number
2-6972
Contact
Information
Purpose
Mailing
Location
Address
1901 E VOORHEES ST
717 S HOUSTON AVE
City
Danville
Tulsa
State
IL
OK
Postal Code
61834-4509
74127-9023
Country
US
US
Telephone Number
(847) 527-2489
(918) 585-1957
Authorized Official
Name
Jennifer Ponce
Title or Position
MANAGER
Telephone Number
(847) 527-2489
Identifiers
Identifier
3728168
Identifier State
OK
Identifier Issuer
NCPDP
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/12/2024
Provider Address
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