Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #01080
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
43200 STATE HIGHWAY 74, HEMET, CA 92544-5142
(951) 927-8570
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-6250
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY47535
CA
3336C0003X
Community/Retail Pharmacy
PHY47535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477500965
—
CA
01
—
5618016
NCPDP
—
Enumeration date
05/28/2006
Last updated
10/26/2023
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