| Name: | WALGREEN EASTERN CO., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Mar 1989 (36 years ago) |
| Branch of: | WALGREEN EASTERN CO., INC., NEW YORK (Company Number 15808) |
| Identification Number: | 000054660 |
| Place of Formation: | NEW YORK |
| Principal Address: | 108 WILMOT ROAD, DEERFIELD, IL, 60015, USA |
| Purpose: | OPERATING SUBSIDIARY OPERATING RETAIL DRUG STORES ON THE EAST COAST OF THE U.S. AND DISTRIBUTION CENTER IN PA |
| NAICS: | 446110 - Pharmacies and Drug Stores |
| Fictitious names: |
Walgreens Specialty Pharmacy #10996 (trading name, 2024-06-07 - ) Walgreens Specialty Pharmacy #15307 (trading name, 2024-06-07 - ) Walgreens Specialty Pharmacy #15538 (trading name, 2024-06-07 - ) Walgreens Specialty Pharmacy #16463 (trading name, 2024-06-07 - ) Walgreens Specialty Pharmacy #16537 (trading name, 2024-06-07 - ) Walgreens Specialty Pharmacy #21179 (trading name, 2024-06-07 - ) Walgreens Specialty Pharmacy #21185 (trading name, 2024-06-07 - ) Walgreens #18945 (trading name, 2020-02-26 - ) Walgreens #19470 (trading name, 2020-02-26 - ) Walgreens #18266 (trading name, 2020-02-26 - ) Walgreens #19844 (trading name, 2020-01-27 - ) Walgreens #19838 (trading name, 2020-01-27 - ) Walgreens #19529 (trading name, 2020-01-27 - ) Walgreens #19399 (trading name, 2020-01-27 - ) Walgreens #19343 (trading name, 2019-12-11 - ) Walgreens #19761 (trading name, 2019-12-11 - ) Walgreens #18384 (trading name, 2019-12-11 - ) Walgreens #19985 (trading name, 2019-12-11 - ) WALGREENS #18259 (trading name, 2019-11-12 - ) WALGREENS #19165 (trading name, 2019-11-12 - ) Walgreens #19394 (trading name, 2019-07-05 - ) Walgreens #19263 (trading name, 2019-06-07 - ) Walgreens #17519 (trading name, 2019-06-07 - ) Walgreens #19111 (trading name, 2019-05-17 - ) Walgreens #19601 (trading name, 2019-05-17 - ) Walgreens #19680 (trading name, 2019-05-17 - ) Walgreens #19900 (trading name, 2019-05-17 - ) Walgreens #19849 (trading name, 2019-04-18 - ) Walgreens #19348 (trading name, 2019-04-18 - ) WALGREENS #19189 (trading name, 2019-04-18 - ) Walgreens #18378 (trading name, 2019-04-18 - ) RITE AID #10260 (trading name, 2017-12-14 - ) RITE AID #10257 (trading name, 2017-12-14 - ) RITE AID #10254 (trading name, 2017-12-14 - ) RITE AID #10251 (trading name, 2017-12-14 - ) RITE AID #10246 (trading name, 2017-12-14 - ) RITE AID #10245 (trading name, 2017-12-14 - ) RITE AID #10249 (trading name, 2017-12-14 - ) RITE AID #10253 (trading name, 2017-12-14 - ) RITE AID #10256 (trading name, 2017-12-14 - ) RITE AID #10259 (trading name, 2017-12-14 - ) RITE AID #10262 (trading name, 2017-12-14 - ) RITE AID #10255 (trading name, 2017-12-14 - ) RITE AID #10248 (trading name, 2017-12-14 - ) RITE AID #10252 (trading name, 2017-12-14 - ) RITE AID #10258 (trading name, 2017-12-14 - ) RITE AID #10261 (trading name, 2017-12-14 - ) RITE AID #10241 (trading name, 2017-12-14 - ) RITE AID #10238 (trading name, 2017-12-14 - ) RITE AID #10235 (trading name, 2017-12-14 - ) RITE AID #10244 (trading name, 2017-12-14 - ) RITE AID #10236 (trading name, 2017-12-14 - ) RITE AID #10239 (trading name, 2017-12-14 - ) RITE AID #10242 (trading name, 2017-12-14 - ) RITE AID #10243 (trading name, 2017-12-14 - ) RITE AID #10240 (trading name, 2017-12-14 - ) RITE AID #10237 (trading name, 2017-12-14 - ) RITE AID #10234 (trading name, 2017-12-14 - ) RITE AID #10231 (trading name, 2017-12-14 - ) RITE AID #10232 (trading name, 2017-12-14 - ) RITE AID #10227 (trading name, 2017-12-14 - ) RITE AID #10224 (trading name, 2017-12-14 - ) RITE AID #10219 (trading name, 2017-12-14 - ) RITE AID #06727 (trading name, 2017-12-14 - ) RITE AID #10223 (trading name, 2017-12-14 - ) RITE AID #06595 (trading name, 2017-12-14 - ) RITE AID #10226 (trading name, 2017-12-14 - ) RITE AID #10218 (trading name, 2017-12-14 - ) RITE AID #10230 (trading name, 2017-12-14 - ) RITE AID #10233 (trading name, 2017-12-14 - ) RITE AID #10229 (trading name, 2017-12-14 - ) RITE AID #10225 (trading name, 2017-12-14 - ) RITE AID #10222 (trading name, 2017-12-14 - ) RITE AID #10217 (trading name, 2017-12-14 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194919597 | 2007-08-29 | 2022-05-06 | 1901 E VOORHEES ST, MS 790, DANVILLE, IL, 618344509, US | 100 ROMANO VINEYARD WAY, NORTH KINGSTOWN, RI, 02852, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 217-709-2351 |
| Fax | 2177092344 |
| Phone | +1 401-295-5791 |
| Fax | 4012955872 |
Authorized person
| Name | KIRA TAYLOR |
| Role | MANAGER |
| Phone | 2177092351 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PHA00506 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 3336M0003X - Managed Care Organization Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 4106971 |
| Name | Role | Address |
|---|---|---|
| PRENTICE-HALL CORP SYSTEM | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| TRACEY BROWN | PRESIDENT | 108 WILMOT ROAD DEERFIEDL, IL 60015 USA |
| Name | Role | Address |
|---|---|---|
| BRIAN BROWN | TREASURER | 108 WILMOT ROAD DEERFIELD, IL 60015 USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH B AMSBARY JR | SECRETARY | 108 WILMOT ROAD DEERFIELD, IL 60015 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL EMERSON | VICE PRESIDENT, TAX | 108 WILMOT ROAD DEERFIELD, IL 60015 USA |
| Name | Role | Address |
|---|---|---|
| BRITTANY MACK | ASSISTANT TREASURER | 108 WILMOT ROAD DEERFIELD, IL 60015 USA |
| Name | Role | Address |
|---|---|---|
| TRACEY BROWN | DIRECTOR | 108 WILMOT ROAD DEERFIELD, IL 60015 USA |
| BRIAN BROWN | DIRECTOR | 108 WILMOT ROAD DEERFIELD, IL 60015 USA |
| Number | Name | File Date |
|---|---|---|
| 202455481010 | Fictitious Business Name Statement | 2024-06-07 |
| 202455481100 | Fictitious Business Name Statement | 2024-06-07 |
| 202455481470 | Fictitious Business Name Statement | 2024-06-07 |
| 202455480590 | Fictitious Business Name Statement | 2024-06-07 |
| 202455480680 | Fictitious Business Name Statement | 2024-06-07 |
| 202455480770 | Fictitious Business Name Statement | 2024-06-07 |
| 202455480860 | Fictitious Business Name Statement | 2024-06-07 |
| 202453456920 | Annual Report | 2024-04-30 |
| 202334676810 | Annual Report | 2023-04-29 |
| 202215973230 | Annual Report | 2022-04-27 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
