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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
Walgreens #12098
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
311 PELHAM RD S, JACKSONVILLE, AL 36265-2140
(256) 782-1502
(256) 782-1596
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
113211
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135637
NCPDP
—
05
—
1881842805
—
AL
05
—
1881842805 DME
—
AL
Enumeration date
09/03/2008
Last updated
06/03/2026
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