Organization
WALGREENS SPECIALTY PHARMACY, LLC
Active
Parent organization
WALGREEN BOOTS ALLIANCE INC
Other names
Walgreens Specialty Pharmacy #15438
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
41460 HAGGERTY CIR S, CANTON, MI 48188-2227
(888) 282-5166
(734) 677-5819
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
333600000X
Pharmacy
Primary
5301007754
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371514
NCPDP
MI
Enumeration date
07/29/2008
Last updated
10/08/2024
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