WALGREEN CO
901 Main Ave
De Pere, WI 54115
920-983-6153
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | ||
Y | 333600000X | Suppliers - Pharmacy | WI | 8639-042 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
33289100 | WI | MEDICAID | |
NCPDP | 5129223 | OTHER |