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Organization
WALGREEN SPECIALTY PHARMACY, LLC
Active
Organization
WALGREEN SPECIALTY PHARMACY, LLC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens Specialty Pharmacy #15443
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
10530 JOHN ELLIOTT DRIVE, STE. 100, FRISCO, TX 75033-0000
(214) 387-3500
Mailing address
1901 E VOORHEES ST, MS 792, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5903023
NCPDP
TX
Enumeration date
11/11/2010
Last updated
09/30/2024
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