Organization
WALGREEN MEDICAL SUPPLY LLC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
MR. ALAN NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization
Contact information
Practice address
18861 90TH AVE, SUITE D, MOKENA, IL 60448-8178
(708) 390-5858
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2494
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031923
—
CT
05
—
100261888
—
NE
05
—
1023082210001
—
PA
05
—
1215195730
—
CA
05
—
1215195730
—
IA
05
—
1215195730
—
MN
05
—
1215195730
—
MO
05
—
1215195730
—
VA
05
—
1215195730
—
WA
05
—
1215195730
—
WI
05
—
1574610
—
AK
05
—
2000005
—
SD
05
—
200239190A
—
OK
05
—
200911480A
—
IN
05
—
2157141
—
LA
05
—
2978649
—
OH
05
—
391322
—
AZ
05
—
54980071
—
NM
05
—
7100154440
—
KY
05
—
8083274
—
ID
Enumeration date
05/30/2008
Last updated
10/30/2015
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