Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC.
Other names
WALGREENS #16196
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC.
Authorized official
ALYSSA SWEETEN (MANAGER)
(217) 709-2386
Entity
Organization
Contact information
Practice address
750 MAIN ST STE 104E, REISTERSTOWN, MD 21136-2500
(410) 526-2960
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P06766
MD
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138178
NCPDP
MD
05
—
963218200
—
MD
Enumeration date
01/28/2014
Last updated
11/27/2018
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