Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1427065432


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

WALGREEN CO

Other Names:  
Doing Business As: 
WALGREENS #07256

Organization Subpart: YES

NPI: 1427065432
Last Updated: 2022-05-16
Certification Date: 2022-05-16

Details

NameValue
NPI1427065432
Enumeration Date2006-08-02
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: KIRA L TAYLOR
Title: Manager
Phone: 2177092351
Mailing Address 1901 E VOORHEES ST
MAILSTOP #790
DANVILLE, IL 61834-4509
United States

Phone: 217-709-2351 | Fax:217-709-2344
 
Primary Practice Address 2140 E DOROTHY LN
KETTERING, OH 45420-1114
United States

Phone: 937-395-0633 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH2390425
Other (non-Medicare)3671117Other ID Number-Commercial Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 332B00000X - Durable Medical Equipment & Medical Supplies
No 3336C0003X - Pharmacy - Community/Retail Pharmacy
Yes 333600000X - Pharmacy OH21355850