Organization
WALGREEN LOUISIANA CO INC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15199
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
5518 MAGAZINE ST, NEW ORLEANS, LA 70115-3152
(504) 899-0034
(504) 899-2613
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2125RC
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1257460
—
LA
05
—
156808407
—
AR
01
—
1922269
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
12/02/2025
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