Organization
WALGREEN EASTERN CO INC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #12325
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(224) 475-5702
Entity
Organization
Contact information
Practice address
616 FOREST AVE, PORTLAND, ME 04101-1510
(207) 761-9454
(207) 761-9462
Mailing address
1901 E VOORHEES ST, DANVILLE, IL 61834-4515
(217) 709-2364
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH50001390
ME
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008426
NCPDP
—
Enumeration date
09/09/2009
Last updated
01/14/2026
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