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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #05488
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
MR. ALAN T NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization
Contact information
Practice address
3400 FREEDOM DR, SPRINGFIELD, IL 62704-6516
(217) 726-3497
Mailing address
1901 E VOORHEES ST, MAILSTOP #790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
54014140
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470537
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
362127039488
—
IL
Enumeration date
08/01/2006
Last updated
11/26/2015
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