Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLLIANCE INC
Other names
WALGREENS #15970
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLLIANCE INC
Authorized official
MR. ALAN T NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization
Contact information
Practice address
4105 ORCHARD LAKE RD, ORCHARD LAKE, MI 48323-1641
(248) 862-9819
Mailing address
1901 E VOORHEES ST, MS 790, 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
5301010620
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013305770
—
MI
01
—
2380169
NCPDP
MI
Enumeration date
01/05/2015
Last updated
01/20/2016
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