Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
WALGREENS #05650
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
2627 PACIFIC AVE, LONG BEACH, CA 90806-2610
(562) 490-9575
(562) 490-2896
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
PHY45530
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0562593
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1538174826
—
CA
05
—
PHA455300
—
CA
Enumeration date
07/29/2006
Last updated
06/08/2026
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