Provider Information for 1619984598
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 #04884Organization Subpart: YES
NPI: 1619984598
Last Updated: 2024-09-10
Certification Date: 2024-09-10
Certification Date: 2024-09-10
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619984598 | ||||||||||||||||
| Enumeration Date | 2006-08-02 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: JENNIFER PONCE Title: MANAGER Phone: 8475272489 | ||||||||||||||||
| Mailing Address | 1901 E VOORHEES ST MS #790 DANVILLE, IL 61834-4509 United States Phone: 847-527-2489 | Fax:217-709-2344 | ||||||||||||||||
| Primary Practice Address | 278 N MAIN ST THIENSVILLE, WI 53092-1618 United States Phone: 262-242-3451 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|