Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #04466
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
3645 FREDERICK AVE, SAINT JOSEPH, MO 64506-3033
(816) 232-5342
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
6438
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432480A
—
KS
05
—
100432480B
—
KS
01
—
2631718
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
603836008
—
MO
05
—
623836004 DME
—
MO
Enumeration date
07/29/2006
Last updated
02/06/2026
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