Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE, INC
Other names
WALGREENS #01531
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE, INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
625 N BLACK HORSE PIKE, BLACKWOOD, NJ 08012
(856) 228-1368
(856) 228-1506
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
RS00657100
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096440 DME
—
NJ
05
—
0096458
—
NJ
01
—
3193288
NCPDP
—
Enumeration date
07/29/2006
Last updated
11/19/2025
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