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Organization

WALGREEN CO

Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Rite Aid #17042, Rite Aid #7283
Organization subpart
Yes

Provider details

NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
ALYSSA SWEETEN (MANAGER)
(217) 709-2386
Entity
Organization

Contact information

Practice address
1223 N VICTOR II BLVD, MORGAN CITY, LA 70380-1327
(985) 385-2794
(985) 702-1593
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
PHY.007621-RC
LA
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1940469
NCPDP
LA
05
2205820
LA
Enumeration date
08/15/2017
Last updated
06/16/2018
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