Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #03175, WALGREENS #03175
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
1405 S HIGHLAND AVE, JACKSON, TN 38301-7580
(731) 935-7756
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
C2962
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1096571
—
LA
05
—
156808407
—
AR
01
—
4428745
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9449960
—
TN
Enumeration date
08/02/2006
Last updated
09/04/2025
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