Organization
WALGREENS SPECIALTY PHARMACY LLC
Active
Parent organization
WALGREEN CO
Other names
Walgreens Specialty Pharmacy #15438
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
JENNIFER L PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
41460 HAGGERTY CIR S, CANTON, MI 48188-2227
(888) 282-5166
(734) 929-0342
Mailing address
500 NOBLESTOWN RD, CARNEGIE, PA 15106-1230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
10/08/2024
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