Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #09139
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
670 N LAKE AVE, PASADENA, CA 91101-1220
(626) 585-8926
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-6250
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY47441
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548217045
—
CA
01
—
5622053
NCPDP
—
05
—
PHA474410
—
CA
Enumeration date
05/28/2006
Last updated
06/10/2022
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