Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #11949
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
LISA BADGLEY (SENIOR VICE PRESIDENT)
(847) 315-3012
Entity
Organization
Contact information
Practice address
5585 TWIN KNOLLS RD, COLUMBIA, MD 21045-3245
(410) 730-2789
(410) 730-8039
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
P06774
MD
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135766
NCPDP
MD
05
—
420584700
—
MD
Enumeration date
04/26/2011
Last updated
03/25/2022
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