Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1629083761

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Mattoon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

212 S Logan Ave
Mattoon, IL 61938-4595
Phone: (217) 235-3191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 54004542 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1629083761
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Kira Taylor — Manager · (217) 709-2351
Other names Walgreens #05444; Walgreens #05444
NPI enumeratedJuly 29, 2006
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address1901 E Voorhees St, Mailstop #790, Danville, IL 61834-4509

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