Walgreen Co
Organization Active NPI Pharmacy · Notre Dame, IN
NPI 1447501580 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1447501580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 60006325A (IN)
- Legal business name
- WALGREEN CO
- Practice address
- 107 Saint Liam Hall
Notre Dame, IN 46556-5693 - Phone
- (574) 239-3847
- Fax
- (574) 232-4839
- NPI assigned
- Sep 28, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- WALGREENS BOOTS ALLIANCE INC
Authorized official
- Name
- Kira Taylor
- Title
- Manager
- Phone
- (217) 709-2351
Member of 16
National Provider Directory
- Part of
- Walgreens Holding Company
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 60006325A | IN | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
107 Saint Liam Hall
Notre Dame, IN 46556-5693
Mailing address
1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone (217) 709-2351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1564346 | Other | IN | NCPDP |
| 201155650A | Medicaid | IN |
Other names
- University of Notre Dame Health Center
Other providers in Notre Dame, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.