# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** Walgreens \#11905
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609155449
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** KIRA TAYLOR (MANAGER)
- **Authorized official phone:** (217) 709-2351

## Contact information

- **Practice address:** 5802 METROPOLITAN AVE, RIDGEWOOD, NY 11385-1931
- **Practice address phone:** (718) 386-4319
- **Practice address fax:** (718) 386-2673
- **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 | 031384 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 11/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03540232 | — | NY |
| 01 | — | 4450196 | NCPDP | — |