# WALGREEN CO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** WALGREENS \#16024
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033511241
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** MR. ALAN T NIELSEN (TREASURER)
- **Authorized official phone:** (847) 315-3523

## Contact information

- **Practice address:** 1350 SPORTSMAN WAY, FAIRBANKS, AK 99709-4633
- **Practice address phone:** (907) 456-5360
- **Mailing address:** 1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
- **Mailing address phone:** (217) 709-2386
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 500 | AK | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 10/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0228406 | NCPDP | AK |
| 05 | — | 1623921 | — | AK |