Organization
WALGREEN CO .
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15557
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
395 BROAD ST, RED BANK, NJ 07701
(732) 945-1505
(732) 945-1506
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
28RS00744600
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0510149
—
NJ
01
—
3150199
NCPCP
NJ
Enumeration date
07/06/2015
Last updated
04/29/2022
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