Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #06632
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
3204 PEACH ORCHARD RD, AUGUSTA, GA 30906-4862
(706) 796-7240
Mailing address
1901 E VOORHEES ST, MAILSTOP #790, DANVILLE, IL 61834-4509
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHRE008626
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00893901G
—
GA
05
—
100210044
—
AL
01
—
1149764
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1225517
—
LA
05
—
156808407
—
AR
Enumeration date
07/29/2006
Last updated
10/08/2024
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