Walgreen Co

NPI #1063428423 in Mesa, Arizona

Provider Information

NPI Number
1063428423
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 31, 2006
Last Updated
Jun 25, 2025

Practice Location

Address
1130 W. SOUTHERN AVE
City
Mesa
State
Arizona
ZIP Code
85210-4993
Phone
(480) 461-1193

Authorized Official

Name
JENNIFER PONCE
Title
MANAGER
Phone
(847) 527-2489

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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