# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** Walgreens \#12114
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275774473
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** KIRA TAYLOR (MANAGER)
- **Authorized official phone:** (217) 709-2351

## Contact information

- **Practice address:** 9700 N CEDAR AVE, KANSAS CITY, MO 64157-6209
- **Practice address phone:** (816) 415-9918
- **Practice address fax:** (816) 415-9903
- **Mailing address:** 1901 E VOORHEES ST, MS \#790, DANVILLE, IL 61834-4509
- **Mailing address phone:** (217) 709-2351
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 2009009818 | MO | Yes |
| 3336C0002X | Clinic Pharmacy | — | — | — |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 03/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2638483 | NCPDP | MO |
| 05 | — | 606417400 | — | MO |