WALGREEN CO
975 W South Airport Rd
Traverse City, MI 49686
231-946-5840
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336C0002X | Suppliers - Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | MI | 5301009127 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MI-DME | 1578707758 | MI | OTHER |
NCPDP | 2372768 | MI | OTHER |
1578707758 | MI | MEDICAID |