Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #07058
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
7769 W STATE ROUTE 66, NEWBURGH, IN 47630-2544
(812) 853-5339
(812) 853-2075
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
60004082A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100308380A
—
IN
01
—
1528338
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7100954170
—
KY
Enumeration date
07/29/2006
Last updated
02/15/2024
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