Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #05247
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
3915 S NOLAND RD, INDEPENDENCE, MO 64055-3346
(816) 254-8748
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
Primary
2000151092
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432520A
—
KS
05
—
100432520B DME
—
KS
01
—
2632974
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
604857003
—
MO
05
—
624857009 DME
—
MO
Enumeration date
08/02/2006
Last updated
04/25/2022
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