Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #16298
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
ALYSSA T SWEETEN (MANAGER)
(217) 709-2386
Entity
Organization
Contact information
Practice address
1700 TREE LN, STE 180, SNELLVILLE, GA 30078-6782
(770) 580-8871
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
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHRE010157
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162215A
—
GA
01
—
1166811
NCPDP
GA
Enumeration date
05/27/2015
Last updated
03/07/2019
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