Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
WALGREENS #03594
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
210 STATE HIGHWAY 165, BRANSON, MO 65616-3464
(417) 339-3996
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5854
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0580092
—
IA
05
—
100242740C
—
OK
05
—
100242740D DME
—
OK
05
—
152536407
—
AR
01
—
2630019
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
608021606
—
MO
05
—
628021602 DME
—
MO
Enumeration date
07/29/2006
Last updated
03/27/2026
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