Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #11234
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
10671 SUDLEY MANOR DR, MANASSAS, VA 20109-2844
(703) 257-2894
(703) 361-2315
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
0201004298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407082043
VA DME
VA
05
—
1407082043
—
VA
01
—
4841676
NCPDP
VA
Enumeration date
06/10/2009
Last updated
10/30/2023
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