NPI 1114255049
Walgreen Co.
Practice location
- Address
- 97 Oak St, Bangor, ME 04401-6516
- Phone
- (207) 945-0351
- Mailing address
- 1901 E Voorhees St Ms 790, Danville, IL 61834-4509
Authorised official
- Name
- Alan T Nielsen
- Title
- Treasurer
- Phone
- (847) 315-3523
Registered specialties (3)
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1114255049
- Entity type
- Organization
- NPI issued
- 4 Dec 2009
- Record last updated
- 13 Jan 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.