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Organization

WALGREEN CO

Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #13074
Organization subpart
Yes

Provider details

NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
MR. ALAN T NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization

Contact information

Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 344-6834
Mailing address
1901 E VOORHEES ST, M/S 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
8917
WI
3336C0002X
Clinic Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619103157
WI DME
WI
05
1619103157
WI
01
5131610
NCPDP
WI
Enumeration date
06/10/2009
Last updated
11/05/2015
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