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NPI Code Detail

MEDICARE: WALGREEN CO

MEDICARE: WALGREEN CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing Site

General Provider Information

NPI Number : 1528255726
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST
Second Line : MAIL STOP #720
City : DANVILLE
State : IL
Zip : 61834-4509
Country : US
Telephone Number : 217-554-8494
Fax Number : 217-554-8546
Provider Business Practice Location Address
First Line : 1816 FRANKLIN STREET
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-4504
Country : US
Telephone Number : 219-736-8105
Fax Number :
Authorized Official
Title or Position : CORP. VICE PRESIDENT
Name : MR. KERMIT R CRAWFORD
Credential :
Telephone Number : 847-914-3159
Provider Enumeration Date : 10/02/2007
Last Update Date : 04/27/2009

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Directions to “WALGREEN CO ” Practice Location

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