Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC.
Other names
WALGREEENS #03473
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
1863 UNION AVE, MEMPHIS, TN 38104-4028
(901) 272-2006
Mailing address
1901 E VOORHEES ST, MAIL STOP #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
1614
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03807814
—
MS
05
—
1211621
—
LA
05
—
158080407
—
AR
01
—
4421272
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9447529
—
TN
Enumeration date
08/02/2006
Last updated
11/02/2023
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