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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
WALGREENS #11085
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS HOLDING COMPANY
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
52482 INDIANA STATE ROUTE 933, SOUTH BEND, IN 46637-3852
(574) 271-0357
(574) 243-1516
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
60004192A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100301210
—
IN
05
—
100301210A DME
—
IN
01
—
1529164
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2861902
—
MI
05
—
4825271 DME
—
MI
Enumeration date
07/29/2006
Last updated
06/03/2026
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