Organization
HAPPY HARRYS INC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #11028
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
216 SUBURBAN DR, NEWARK, DE 19711-3596
(302) 456-6760
(302) 456-6764
Mailing address
1901 E VOORHEES ST, MS #790, DANVILLE, IL 61834-4509
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
A3-0000804
DE
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000380407
—
DE
01
—
0802985
OTHER ID
—
05
—
200051014
—
DE
05
—
411194000
—
MD
01
—
413037500
MEDICAID DME
MD
Enumeration date
07/21/2006
Last updated
02/12/2025
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