Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
Walgreens #19692
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
120 MAIN ST, GORHAM, ME 04038-1306
(207) 839-3160
(207) 839-7038
Mailing address
1901 E VOORHEES ST, DANVILLE, IL 61834-4515
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982128088
—
ME
01
—
PH50001610
BOARD OF PHARMACY
ME
Enumeration date
07/31/2017
Last updated
06/02/2026
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