Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #21229
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
1501 FUTURE WAY, KISSIMMEE, FL 34747
(407) 964-3062
(407) 964-3104
Mailing address
1901 E VOORHEES ST # MS 790, DANVILLE, IL 61834-4509
(847) 527-2489
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
—
130470200
—
FL
Enumeration date
09/06/2022
Last updated
04/06/2026
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