Organization
WALGREEN CO
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Duane Reade #14508
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
4714 16TH AVE STE 100, BROOKLYN, NY 11204-1197
(718) 438-1800
(718) 853-6563
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
026957
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02581386
—
NY
01
—
3340091
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00400633
MEDICARE PIN
—
Enumeration date
07/13/2006
Last updated
04/25/2022
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