Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #16394
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
MR. ALAN NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization
Contact information
Practice address
407 E GREEN ST, CHAMPAIGN, IL 61820-5610
(217) 344-0121
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.019399
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1490414
NCPDP
IL
05
—
36379638001
—
IL
Enumeration date
03/25/2015
Last updated
08/28/2015
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