Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
Walgreens #10560
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
6620 BARDSTOWN RD, LOUISVILLE, KY 40291-3045
(502) 231-1310
(502) 231-1827
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
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P07382
KY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194058727
—
KY
01
—
1831545
NCPDP
—
Enumeration date
09/15/2009
Last updated
08/07/2026
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