Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #05928
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
1011 W MACARTHUR DR, WEBB CITY, MO 64870-2103
(417) 673-6758
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2000158436
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100455810A
—
KS
01
—
100455810B
DME
KS
05
—
100846400A
—
OK
01
—
100846400B
DME
OK
01
—
2633178
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
604990309
—
MO
01
—
624990305
DME
MO
Enumeration date
07/29/2006
Last updated
04/22/2026
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