Organization
WALGREEN LOUISIANA CO INC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #13658
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
9705 JEFFERSON HWY, RIVER RIDGE, LA 70123-2511
(504) 737-2111
(504) 737-0174
Mailing address
1901 E VOORHEES ST, MS 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
2162RC
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1257796
—
LA
01
—
1922574
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
690022
—
TX
Enumeration date
07/29/2006
Last updated
12/02/2025
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