Healthcare Provider Details

I. General information

NPI: 1740394980
Provider Name (Legal Business Name): WALGREEN CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 W. CHICAGO AVENUE
EAST CHICAGO IN
46312
US

IV. Provider business mailing address

1901 E VOORHEES ST MAIL STOP #720
DANVILLE IL
61834-4509
US

V. Phone/Fax

Practice location:
  • Phone: 219-397-6008
  • Fax:
Mailing address:
  • Phone: 217-554-8964
  • Fax: 217-554-8546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD C HUONKER JR.
Title or Position: CORPORATE VICE PRESIDENT
Credential:
Phone: 847-914-3154