Organization
WALGREEN CO.
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #17149
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(224) 475-5702
Entity
Organization
Contact information
Practice address
220 US RTE 1 STE 1, BUCKSPORT, ME 04416
(207) 469-2201
(207) 469-6803
Mailing address
1901 E VOORHEES ST, DANVILLE, IL 61834-4515
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528582475
—
ME
01
—
PH50001573
BOARD OF PHARMACY
ME
Enumeration date
08/02/2017
Last updated
05/12/2026
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