Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #10427
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
35 CENTRAL ST, LEOMINSTER, MA 01453-5716
(978) 840-9959
(978) 840-9965
Mailing address
1901 E VOORHEES ST, MS #790, DANVILLE, IL 61834-4509
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
3611
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078014L
—
MA
01
—
2242357
NCPDP
MA
Enumeration date
06/04/2008
Last updated
09/11/2024
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