Walgreen Co
Pharmacy in Madison, WI. Organization (NPI-2).
NPI number1104831007
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1104831007
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Jun 14, 2024
- Last updated
- Jun 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 7414 | WI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #3343 (Doing Business As)
Practice location
7810 Mineral Point RdMadison, WI 53717-2088
Phone 608-833-1222
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2364 · Fax 217-709-2344
Authorized official
Virginia Garza
Manager
2177092364
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