Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15852
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
VIRGINIA GARZA (MANAGER)
(217) 709-2364
Entity
Organization
Contact information
Practice address
1328 RED WOLF BLVD, JONESBORO, AR 72401-4578
(870) 935-2242
(870) 930-9487
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
AR20094
AR
333600000X
Pharmacy
AR20094
AR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403751
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
133638407
—
AR
01
—
135608716
MEDICAID DME
AR
Enumeration date
10/23/2006
Last updated
06/05/2024
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