Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15791
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
1601 MAIN ST, LITTLE ROCK, AR 72206-1433
(501) 371-9229
(501) 374-7897
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20009
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423169
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
177929407
—
AR
05
—
178663716
—
AR
Enumeration date
06/05/2009
Last updated
03/28/2025
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