Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC.
Other names
WALGREENS #04222
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
5400 INDEPENDENCE AVE, KANSAS CITY, MO 64123-2027
(816) 231-0730
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
6323
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2631403
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
608930004
—
MO
05
—
628930000 DME
—
MO
Enumeration date
07/29/2006
Last updated
03/31/2022
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