Walgreen Co

NPI #1205380227 in La Jolla, California

Provider Information

NPI Number
1205380227
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 8, 2016
Last Updated
Jun 25, 2025

Practice Location

Address
4130 LA JOLLA VILLAGE DR STE 103
ZIP Code
92037-1480
Phone
(858) 352-2242

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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