# 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 \#15805
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497838015
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** MR. ALAN T NIELSEN (TREASURER)
- **Authorized official phone:** (847) 315-3523

## Contact information

- **Practice address:** 738 S GLOSTER ST, TUPELO, MS 38801-4932
- **Practice address phone:** (662) 844-0432
- **Practice address fax:** (662) 844-9853
- **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 | 01443012 | MS | — |
| 333600000X | Pharmacy | 01443/01.2 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 03/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330366 | — | MS |
| 01 | — | 01443012 | MEDICAID DME | MS |
| 01 | — | 2511714 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 330366 | — | MS |
| 01 | — | 870001323 | MEDICARE FLU | MS |