Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS 09242
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
40 W IDAHO ST, KALISPELL, MT 59901-3956
(406) 257-0714
Mailing address
1901 E VOORHEES ST, MAIL STOP 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
1131
MT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710992755
—
MT
01
—
2782628
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
5607290
MEDICAID DME
MT
Enumeration date
07/29/2006
Last updated
06/10/2022
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