Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INIC
Other names
WALGREENS #1456
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INIC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
CARR PR-2 KM 87.7 INT PR-130, BO PUEBLO, HATILLO, PR 00659-0000
(787) 680-7852
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
17-F-3261
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028937
NCPDP
PR
Enumeration date
11/25/2014
Last updated
11/02/2023
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