Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15810
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
950 E TAFT AVE, SAPULPA, OK 74066-5729
(918) 227-7200
(918) 227-6109
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
113614
OK
333600000X
Pharmacy
113614
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241490K
—
OK
01
—
200077890F
MEDICAID DME
OK
01
—
3718408
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
400522489
MEDICARE FLU
OK
Enumeration date
10/25/2006
Last updated
05/03/2022
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