Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #15141
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
1707 W 8TH ST, ODESSA, TX 79763-3423
(432) 332-8258
(432) 332-8371
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61832-4509
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
28220
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466849
—
TX
05
—
468818
—
TX
01
—
5906992
NCPDP
TX
Enumeration date
09/19/2012
Last updated
02/28/2023
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