# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** Walgreens \#17195
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508383472
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** KIRA TAYLOR (MANAGER)
- **Authorized official phone:** (217) 709-2351

## Contact information

- **Practice address:** 79 NORTH ST, DRYDEN, NY 13053-8510
- **Practice address phone:** (607) 844-3151
- **Practice address fax:** (607) 844-3043
- **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 | — | NULL | — |
| 333600000X | Pharmacy | 036254 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 05/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05075943 | — | NY |
| 01 | — | 5822944 | NCPDP | NY |