Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #7970
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
45 S EL CAMINO REAL, MILLBRAE, CA 94030-3124
(650) 697-3970
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY48526
CA
3336C0003X
Community/Retail Pharmacy
PHY48526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700080603
—
CA
01
—
5627231
NCPDP
—
05
—
PHA485260
—
CA
Enumeration date
06/13/2007
Last updated
06/08/2022
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