Walgreen Co

NPI #1134139090 in Champaign, Illinois

Provider Information

NPI Number
1134139090
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 9, 2006
Last Updated
Nov 20, 2025

Practice Location

Address
1509 S NEIL ST
ZIP Code
61820-6531
Phone
(217) 351-1516

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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