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Organization

WALGREEN CO

Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15080
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
5555 W 79TH ST, BURBANK, IL 60459-1301
(708) 499-3755
(708) 499-1309
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
54011225
IL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1461906
OTHER ID NUMBER-COMMERCIAL NUMBER
05
362127039296
IL
Enumeration date
07/29/2006
Last updated
04/26/2022
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