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Organization

WALGREEN CO

Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #05856
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
4 NE PINE ISLAND RD, CAPE CORAL, FL 33909-2560
(239) 242-2231
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
PH0017526
FL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022420100
FL
05
022420101 DME
FL
01
1090149
OTHER ID NUMBER-COMMERCIAL NUMBER
05
407467200
MN
Enumeration date
08/01/2006
Last updated
05/02/2022
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