Provider Information for 1730194077
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WALGREEN CO
Other Names:Doing Business As:WALGREENS #03589Organization Subpart: YES
NPI: 1730194077
Last Updated: 2023-10-27
Certification Date: 2023-10-27
Certification Date: 2023-10-27
Details
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NPI | 1730194077 | ||||||||||||||||
Enumeration Date | 2006-07-29 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: KIRA L TAYLOR Title: MANAGER Phone: 2177092351 | ||||||||||||||||
Mailing Address | 1901 E VOORHEES ST MAIL STOP 790 DANVILLE, IL 61834-4509 United States Phone: 217-709-2351 | Fax:217-709-2344 | ||||||||||||||||
Primary Practice Address | 5870 S KIPLING PKWY LITTLETON, CO 80127-2070 United States Phone: 303-973-4400 | Fax:303-948-2239 | ||||||||||||||||
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