Provider Demographics
NPI:1730058751
Name:WALGREEN CO.
Entity type:Organization
Organization Name:WALGREEN CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-527-2489
Mailing Address - Street 1:1901 E VOORHEES STREET
Mailing Address - Street 2:MS 790
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61834-4515
Mailing Address - Country:US
Mailing Address - Phone:217-709-2494
Mailing Address - Fax:217-709-2344
Practice Address - Street 1:1562 WASHINGTON ST
Practice Address - Street 2:STE 100RX
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-7580
Practice Address - Country:US
Practice Address - Phone:641-651-3400
Practice Address - Fax:641-651-3401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WALGREENS BOOTS ALLIANCE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-30
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies