Provider Information for 1407861446
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 #09444Organization Subpart: YES
NPI: 1407861446
Last Updated: 2024-10-09
Certification Date: 2024-10-09
Certification Date: 2024-10-09
Details
Name | Value | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1407861446 | ||||||||||||||||
Enumeration Date | 2006-07-29 | ||||||||||||||||
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 | 312 E GAINES ST LAWRENCEBURG, TN 38464-3532 United States Phone: 931-762-6840 | Fax: | ||||||||||||||||
Secondary Practice Address(es) | |||||||||||||||||
Health Information Exchange |
| ||||||||||||||||
Other Identifiers |
| ||||||||||||||||
Taxonomy |
|