Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens # 10306
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
3510 EVERGREEN PKWY, EVERGREEN, CO 80439-7707
(303) 928-8982
(303) 928-8988
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO-745
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0620650
NCPDP
CO
05
—
19035888
—
CO
Enumeration date
01/22/2008
Last updated
10/27/2023
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