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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #03598
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
2001 S MAIN ST, JOPLIN, MO 64804-2045
(417) 626-7878
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5928
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0565457
—
IA
05
—
100246980A
—
OK
05
—
100246980B DME
—
OK
05
—
100455820A
—
KS
05
—
100455820B DME
—
KS
01
—
2630336
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
608178703
—
MO
05
—
628178709 DME
—
MO
Enumeration date
07/29/2006
Last updated
02/06/2026
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