Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15814
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
345 US HIGHWAY 51 BYP W, DYERSBURG, TN 38024-1930
(731) 285-7267
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1261
TN
333600000X
Pharmacy
Primary
0000001261
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G735903
MEDICARE FLU
TN
01
—
1452321
MEDICAID DME
TN
01
—
4428721
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
4499927
MEDICAID DME
TN
05
—
9449918
—
TN
Enumeration date
10/23/2006
Last updated
03/07/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us