Organization
WALGREEN EASTERN CO INC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens #19251
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
151 MAPLE ST, CORNISH, ME 04020-3103
(207) 625-8494
(207) 625-3880
Mailing address
1901 E VOORHEES ST, DANVILLE, IL 61834-4515
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912422288
—
ME
01
—
PH50001608
BOARD OF PHARMACY
ME
Enumeration date
08/08/2017
Last updated
01/14/2026
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