Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15703
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
300 E 8TH ST, DANVILLE, AR 72833-8800
(479) 495-5444
(479) 495-5446
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
AR20147
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420505
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
163021407
—
AR
Enumeration date
10/24/2006
Last updated
03/28/2025
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