Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens # 11156
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
MR. ALAN T NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization
Contact information
Practice address
419 E MICHIGAN AVE, YPSILANTI, MI 48198-5658
(734) 485-4621
Mailing address
1901 E VOORHEES ST, M/S 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
L1345549
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083880975
MI MEDICAID DME
MI
01
—
2371172
NABP
MI
Enumeration date
05/01/2008
Last updated
09/02/2016
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