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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
Walgreens #11625
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
4620 LINCOLNWAY E, MISHAWAKA, IN 46544-4076
(574) 257-0438
(574) 257-0725
Mailing address
1901 E VOORHEES ST, MS #790, DANVILLE, IL 61834-4509
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
60006185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562544
NABP
IN
05
—
200930220A
—
IN
Enumeration date
01/08/2009
Last updated
06/03/2026
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