Walgreen Co

NPI #1114932415 in Decatur, Illinois

Provider Information

NPI Number
1114932415
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
Nov 21, 2025

Practice Location

Address
4995 E US ROUTE 36
ZIP Code
62521-9701
Phone
(217) 864-9455

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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