Organization · NPI-2

Walgreen Co

Pharmacy · Cockeysville, MD

NPI number1740704436
StatusActive
Last updated in NPPESAug 16, 2018

Details

NPI
1740704436
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Aug 3, 2017
Last updated
Aug 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X PharmacyP07821MDYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Rite Aid #392 (Doing Business As)

Practice location

122 Cranbrook Rd
Cockeysville, MD 21030

Phone 410-628-4190 · Fax 410-628-1493

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4509

Phone 217-709-2386 · Fax 217-709-2344

Authorized official

Alyssa Sweeten
Manager
2177092386

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