Organization
WALGREENS SPECIALTY PHARMACY LLC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS SPECIALTY PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JOHN A MANN (VICE PRESIDENT)
(847) 527-4640
Entity
Organization
Contact information
Practice address
104 WILMOT RD, MSC 1435, DEERFIELD, IL 60015-5121
(217) 709-2386
Mailing address
104 WILMOT RD, MSC 1435, DEERFIELD, IL 60015-5121
(217) 709-2386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
01/23/2015
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