Organization
WALGREENS SPECIALTY PHARMACY LLC
Active
Parent organization
WALGREENS BOOTS ALLIANCE
Other names
Walgreens Specialty Pharmacy #15443
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
10530 JOHN W ELLIOTT DR, STE 100, FRISCO, TX 75033
(800) 424-9002
(800) 874-9179
Mailing address
1901 E VOORHEES ST, MS 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
14412
TX
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
14412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00196328280006
—
PA
05
—
007571
—
HI
05
—
0216495
—
OH
05
—
07033855
—
MS
05
—
1028472
—
AK
05
—
119788601
—
WY
05
—
1851463087
—
IA
05
—
1851463087
—
ID
05
—
1851463087
—
MI
05
—
1851463087
—
MN
05
—
1851463087
—
MT
05
—
1851463087
—
NV
05
—
1851463087
—
SD
05
—
1851463087
—
UT
05
—
1851463087
—
VA
05
—
1851463087
—
WI
05
—
185350407
—
AR
05
—
200037560A
—
OK
05
—
200390000A
—
IN
05
—
2013289
—
WA
05
—
2204947
—
LA
05
—
3124086
—
NH
01
—
4591055
NCPDP
—
05
—
466694
—
TX
05
—
491055
—
TN
05
—
498604
—
AZ
05
—
500638341
—
OR
05
—
554204900
—
MD
05
—
7100151520
—
KY
05
—
7T4412
—
SC
05
—
96722339
—
NM
Enumeration date
11/14/2006
Last updated
03/04/2026
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