# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** Walgreens \#12749
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255660346
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** JENNIFER PONCE (MANAGER)
- **Authorized official phone:** (847) 527-2489

## Contact information

- **Practice address:** 900 EASTLAND DR, JEFFERSON CITY, MO 65101-3894
- **Practice address phone:** (573) 556-5615
- **Practice address fax:** (573) 556-8749
- **Mailing address:** 1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
- **Mailing address phone:** (847) 527-2489
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 2010007861 | MO | Yes |
| 3336C0002X | Clinic Pharmacy | — | — | — |

## Other

- **Enumeration date:** 12/18/2009
- **Last updated:** 02/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1255660346 | — | IA |
| 01 | — | 2638952 | NCPDP | MO |
| 05 | — | 606469500 | — | MO |