# WALGREEN EASTERN CO INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS HOLDING COMPANY
- **Other names:** Walgreens \#17990
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588180038
- **Legal business name:** WALGREENS HOLDING COMPANY
- **Authorized official:** JENNIFER PONCE (MANAGER)
- **Authorized official phone:** (847) 527-2489

## Contact information

- **Practice address:** 943 WESTERN AVE, MANCHESTER, ME 04351
- **Practice address phone:** (207) 622-6598
- **Practice address fax:** (207) 623-3714
- **Mailing address:** 1901 E VOORHEES ST, DANVILLE, IL 61834-4515
- **Mailing address phone:** (217) 709-2351
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/16/2017
- **Last updated:** 08/06/2026