Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #16251
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
ALYSSA A SWEETEN (MANAGER)
(217) 709-2386
Entity
Organization
Contact information
Practice address
7070 NE SANDY BLVD, PORTLAND, OR 97213-5278
(503) 484-1328
Mailing address
1901 E VOORHEES ST, MS 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
Primary
RP-0003117
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699151506
—
OR
01
—
3845623
NCPDP
OR
Enumeration date
08/03/2015
Last updated
09/27/2019
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