Organization
WALGREEN CO.
Active
Parent organization
WALGREEN BOOTS ALLIANCE INC
Other names
Walgreens #12665
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN BOOTS ALLIANCE INC
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
CARR 181, PLAZA ENCANTADA, URB. ENCANTADA, TRUJILLO ALTO, PR 00976-0000
(787) 748-0013
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
F-2630
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4026224
NCPDP
—
Enumeration date
04/09/2008
Last updated
04/05/2022
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