Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #16407
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
MR. JOHN A MANN (ASST SECRETARY)
(847) 527-4640
Entity
Organization
Contact information
Practice address
200 WILMOT RD, MS 2140, DEERFIELD, IL 60015-4620
(224) 323-5093
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
054.019551
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1490818
NCPDP
IL
05
—
363796738003
—
IL
Enumeration date
07/16/2015
Last updated
10/12/2016
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