# WALGREENS SPECIALTY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREEN CO
- **Other names:** WALGREEN SPECIALTY PHARMACY \#12314
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972847044
- **Legal business name:** WALGREEN CO
- **Authorized official:** ALYSSA SWEETEN (MANAGER)
- **Authorized official phone:** (217) 709-2386

## Contact information

- **Practice address:** 9775 SW GEMINI DR STE 1, BEAVERTON, OR 97008
- **Practice address phone:** (503) 643-8511
- **Mailing address:** 1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
- **Mailing address phone:** (217) 709-2386
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 08/31/2018
