Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #5894
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
6733 CLAYTON RD, CLAYTON, MO 63117-1603
(314) 721-6013
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
—
—
333600000X
Pharmacy
Primary
5260
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031707100
—
FL
01
—
031707101
DME
FL
05
—
0717686
—
IA
05
—
100245370M
—
OK
01
—
100245370N
DME
OK
05
—
1221325
—
LA
05
—
1740295997
—
KY
01
—
2627187
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2655256
—
OH
05
—
600448401
—
MO
01
—
620448407
DME
MO
05
—
735269155A
—
GA
01
—
9001167700
DME
KY
Enumeration date
07/29/2006
Last updated
05/02/2022
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