Organization
WALGREEN CO.
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #10077
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(224) 475-5702
Entity
Organization
Contact information
Practice address
11 STATE RD, BATH, ME 04530-6014
(207) 443-1786
(207) 442-6706
Mailing address
1901 E VOORHEES ST, DANVILLE, IL 61834-4515
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH50001321
ME
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172260005
—
ME
01
—
2008147
NCPDP
—
Enumeration date
09/21/2007
Last updated
05/12/2026
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