Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #18340
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
1103 W PROSPECT RD, FORT COLLINS, CO 80526
(970) 221-3073
(970) 221-5782
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO.0440000012
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0625698
NCPDP
CO
05
—
1003339474
—
CO
Enumeration date
07/18/2017
Last updated
01/26/2026
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