Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLLIANCE INC
Other names
WALGREENS #11105
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
8802 W COLONIAL DR, OCOEE, FL 34761-6903
(407) 578-2283
(407) 292-3720
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
PH0011409
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065805
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
109091700
—
FL
05
—
109091701 DME
—
FL
Enumeration date
08/02/2006
Last updated
09/09/2025
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