Whalio Doctors

NPI 1154644623

Walgreen Co

Organisation Pharmacy Portland, ME

Practice location

Address
340 Allen Ave, Portland, ME 04103-3804
Phone
(207) 878-0530
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
Suppliers Taxonomy 333600000X Licence PH50001400 (ME)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1154644623
Entity type
Organization
NPI issued
11 Mar 2010
Record last updated
12 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.