Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #09838
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
526 FORT EVANS RD, LEESBURG, VA 20176-4097
(571) 209-5631
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
0201004253
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730340019
—
VA
01
—
4840927
NCPDP
VA
Enumeration date
06/19/2008
Last updated
09/08/2025
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