Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #12635
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAFER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
3621 SAVANNAH HWY, JOHNS ISLAND, SC 29455-7937
(843) 571-0615
(843) 571-0783
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
50-010617
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4229008
NCPDP
SC
05
—
715781
—
SC
05
—
DE 3240 DME
—
SC
Enumeration date
07/28/2009
Last updated
05/06/2026
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