Walgreen Co
NPI #1053326207 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1053326207
- Entity Type
- Organization
- Organization Name
- Walgreen Co
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WALGREENS BOOTS ALLIANCE INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 29, 2006
- Last Updated
- Oct 1, 2025
Practice Location
- Address
- 3001 BROADWAY ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2361
- Phone
- (618) 242-1442
Authorized Official
- Name
- JENNIFER PONCE
- Title
- MANAGER
- Phone
- (847) 527-2489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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