Organization
WALGREEN CO
Active
Parent organization
WALGREEN BOOTS ALLIANCE INC
Other names
WALGREENS #10161
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN BOOTS ALLIANCE INC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
CARR. PR #180 INT. CARR. PR #3, KM. 158.4, SALINAS, PR 00751-0000
(787) 824-7352
(787) 824-7357
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
16-F-3231
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027252
NCPCP
—
Enumeration date
02/17/2010
Last updated
11/02/2023
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