Walgreen Co
Pharmacy, Community/Retail Pharmacy in Cushing, OK. Organization (NPI-2).
NPI number1992889653
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1992889653
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Oct 25, 2006
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 83509 | OK | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 83509 | OK | |
| 333600000X | Pharmacy | – | – |
Other names
- Walgreens #15808 (Doing Business As)
Practice location
1405 E Main StCushing, OK 74023-3041
Phone 918-225-5233 · Fax 918-225-7316
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 847-527-2489 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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All 5 Community/Retail Pharmacy providers in Cushing · All 214 providers in Cushing
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