Organization
WALGREEN CO.
Active
Parent organization
WALGREENS BOOTS ALLIANCE
Other names
Walgreens #11135
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
5999 SUMMIT BRIDGE RD, TOWNSEND, DE 19734-9613
(302) 696-1002
(302) 696-1008
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
A3-0000867
DE
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844856
NCPDP
—
05
—
1215121942
—
DE
Enumeration date
09/06/2007
Last updated
10/30/2023
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