Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
WALGREENS #09251
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
3520 S BALDWIN RD, LAKE ORION, MI 48359-1500
(248) 393-2934
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
5301008434
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368529
NCPDP
—
05
—
2368529
—
MI
05
—
4904698 DME
—
MI
Enumeration date
07/25/2006
Last updated
07/22/2026
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