Walgreen Co

NPI #1124210166 in Beaver Dam, Wisconsin

Provider Information

NPI Number
1124210166
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
Aug 14, 2007
Last Updated
Jan 12, 2026

Practice Location

Address
607 PARK AVE
ZIP Code
53916-2201
Phone
(920) 356-0148

Authorized Official

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

Specialties & Taxonomy Codes

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

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