Organization
WALGREEN CO .
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #09271
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(224) 475-5702
Entity
Organization
Contact information
Practice address
7935 TARA BLVD, JONESBORO, GA 30236-2205
(678) 479-1882
Mailing address
1901 E VOORHEES ST, DANVILLE, IL 61834-4515
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHRE8968
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000868304E
—
GA
05
—
1124033238
—
ME
01
—
1153333
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
01/14/2026
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