# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** WALGREENS \#15485
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831104090
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** JENNIFER PONCE (MANAGER)
- **Authorized official phone:** (847) 527-2489

## Contact information

- **Practice address:** 1583 E COUNTY LINE RD, JACKSON, MS 39211-1801
- **Practice address phone:** (601) 952-2979
- **Practice address fax:** (601) 952-0192
- **Mailing address:** 1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
- **Mailing address phone:** (847) 527-2489
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 0440801WJ | MS | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 09/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330469 | — | MS |
| 01 | — | 2519621 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |