WALGREEN CO
1733 Macland Rd Sw
Marietta, GA 30064
770-499-7021
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | GA | PHRE009023 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
612945086A | GA | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1154070 | OTHER |