Organization
WALGREEN CO
Active
Parent organization
WALGREEN BOOTS ALLIANCE INC
Other names
WALGREENS #02630
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN BOOTS ALLIANCE INC
Authorized official
ALYSSA SWEETEN (MANAGER)
(217) 709-2386
Entity
Organization
Contact information
Practice address
555 LARKFIELD RD., EAST NORTHPORT, NY 11731-4203
(631) 266-5093
Mailing address
1901 E VOORHEES ST, MAIL STOP #790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
027943
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02829858
—
NY
01
—
3351854
NCPDP
—
Enumeration date
09/06/2006
Last updated
12/13/2018
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