Organization

Walgreen Co

May also be knows as Walgreens #04201

Pharmacy in Cleveland, TN(View on Map)

Legal Business Name

Walgreen Co

Also Known As

Walgreens #04201

NPI Number

1023023033

NPI Type

Organization

Enumeration Date

07/29/2006

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Tennessee

License Number

C3219

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
35 25TH ST NW

City

Danville
Cleveland

State

IL
TN

Postal Code

61834-4509
37311-3830

Country

US
US

Telephone Number

(217) 709-2351
(423) 614-4810

Authorized Official

Name

Kira Taylor

Title or Position

MANAGER

Telephone Number

(217) 709-2351

Identifiers

Identifier

9449958
4431095

Identifier State

TN
Unknown

Identifier Issuer

Unknown
OTHER ID NUMBER-COMMERCIAL NUMBER

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

Data last updated by provider on 03/31/2022

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