Walgreen Co

NPI #1770006058 in Lewiston, Idaho

Provider Information

NPI Number
1770006058
Entity Type
Organization
Organization Name
Walgreen Co
Subpart
Yes (part of a larger organization)
Parent Organization
WALGREENS BOOTS ALLIANCE INC
Primary Specialty
Pharmacy
Enumeration Date
Jul 19, 2017
Last Updated
Jul 19, 2017

Practice Location

Address
1904 19TH AVE
State
Idaho
ZIP Code
83501-4069
Phone
(217) 709-2386

Authorized Official

Name
MR. ALAN NIELSEN
Title
ASSISTANT TREASURER
Phone
(847) 315-3523

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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