Organization
WALGREEN EASTERN CO, INC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #02706
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
531 PROSPECT AVE, LITTLE SILVER, NJ 07739
(732) 219-7021
(732) 741-2587
Mailing address
1901 E VOORHEES ST, MAILSTOP #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
RS004761
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3133965
NCPDP
NJ
05
—
5409802
—
NJ
Enumeration date
07/29/2006
Last updated
10/16/2023
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