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Organization

WALGREEN CO

Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #11535
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
3501 UNIQUE CIR, FORT MYERS, FL 33908-4711
(239) 271-3924
(239) 437-1508
Mailing address
1901 E VOORHEES ST # 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
PH26778
FL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008981300
FL
05
008981301
FL
01
5713361
NCPDP
FL
Enumeration date
01/31/2013
Last updated
06/25/2025
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