Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #03944
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
329 E MAIN ST, BRANFORD, CT 06405-3106
(203) 481-0387
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
997
CT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004100731 DME
—
CT
01
—
0711742
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004068169
—
CT
Enumeration date
07/29/2006
Last updated
03/30/2022
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