Organization
WALGREEN CO.
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #11055
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
4465 SUMMIT BRIDGE RD, MIDDLETOWN, DE 19709-9549
(302) 376-1600
(302) 378-9487
Mailing address
1901 E VOORHEES ST, MS #790, DANVILLE, IL 61834-4509
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
A3-0000832
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001120907
—
DE
01
—
0803898
NCPDP
—
Enumeration date
07/19/2006
Last updated
10/30/2023
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