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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
WALGREENS #10219
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
929 ARSENAL ST, WATERTOWN, NY 13601-2305
(315) 788-0309
(315) 788-1702
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
—
NULL
333600000X
Pharmacy
Primary
027933
NY
3336C0003X
Community/Retail Pharmacy
027933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02820515
NCPDP
—
05
—
02820515
—
NY
Enumeration date
07/04/2006
Last updated
06/15/2026
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