Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15793
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
803 HIGHWAY 71 N, MENA, AR 71953-4367
(479) 394-5144
(479) 394-2167
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
AR20069
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
AR20069
AR
333600000X
Pharmacy
88S1330
OK
333600000X
Pharmacy
AR20069
AR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247420C
—
OK
05
—
133195407
—
AR
Enumeration date
01/05/2006
Last updated
08/08/2025
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