Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #11432
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
4380 JEFFERSON DAVIS HWY, BEECH ISLAND, SC 29842-4864
(803) 593-5506
(803) 593-8210
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
Primary
50-09988
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4227674
NCPDP
SC
05
—
715729
—
SC
05
—
759879381A
—
GA
01
—
759879381B
MEDICAID DME
GA
05
—
DE3128 DME
—
SC
Enumeration date
04/09/2008
Last updated
02/09/2026
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