# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** WALGREENS \#11351
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154337616
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** ALYSSA SWEETEN (MANAGER)
- **Authorized official phone:** (217) 709-2386

## Contact information

- **Practice address:** 10000 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2102
- **Practice address phone:** (314) 867-0671
- **Mailing address:** 1901 E VOORHEES ST, M/S 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 | 5032 | MO | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 06/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1083780 | — | LA |
| 01 | — | 2625626 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 602660300 | — | MO |
| 01 | — | 622660306 | DME | MO |