Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #10141
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
2903 NE ANDRESEN RD, VANCOUVER, WA 98661-7329
(360) 256-1503
(360) 254-6685
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
CF58022
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4930904
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6027734
—
WA
Enumeration date
07/29/2006
Last updated
01/30/2026
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