| Organization Name: | WALGREENS |
| NPI Number: | 1467722538 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE WASSON (CEO) |
| Mailing Address: | 157 Main St East Haven |
| State: | CT US |
| Postal Code: | 065122525 |
| Phone Number: | 2034689732 |
| Fax Number: | 2034689795 |
| NPI Enumeration Date: | 01/06/2012 |
| NPI Last Update Date: | 01/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 0011421 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |