Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #05535
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
4634 N HIGHWAY 7, HOT SPRINGS VILLAGE, AR 71909-9410
(501) 984-4151
(501) 984-5325
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
20277
AR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421280
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
143509407
—
AR
05
—
157251716 DME
—
AR
Enumeration date
07/29/2006
Last updated
08/04/2025
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