Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #15817
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
310 S MARTIN ST, WARREN, AR 71671-2818
(870) 226-3746
(870) 226-5824
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
AR06466
AR
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR06466
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406466
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
100429407
—
AR
01
—
135742716
MEDICAID DME
AR
01
—
48270
MEDICARE FLU
AR
05
—
797590
—
HI
Enumeration date
10/25/2006
Last updated
05/03/2022
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