Walgreen Co

Pharmacy · Berkeley, CA

Organization Active NPI

NPI number 1174888499

Practice location

2190 Shattuck Ave
Berkeley, CA 94704-1307
Phone
(905) 924-0061

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NPI record

NPI
1174888499
Entity type
Organization (Type 2)
Enumeration date
July 12, 2012
Last updated
July 12, 2012
Organization subpart
Yes
Parent organization
Walgreen Co

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone
(217) 709-2386
Fax
(217) 709-2344

Authorized official

Name
Mr. Kermit R Crawford
Title
President
Phone
(847) 315-3154

Other names

  • Walgreens # 15025

About Walgreen Co

Walgreen Co is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 2190 Shattuck Ave, Berkeley, CA 94704-1307. The NPI number 1174888499 was assigned on July 12, 2012 and the record was last updated on July 12, 2012.

The authorized official for this organization is Mr. Kermit R Crawford, President.

Frequently asked questions

What is the NPI number of Walgreen Co?

The NPI number is 1174888499.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (905) 924-0061.

Where is Walgreen Co located?

2190 Shattuck Ave, Berkeley, CA 94704-1307.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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