Walgreen Co

NPI #1629083654 in Columbia, Missouri

Provider Information

NPI Number: 1629083654
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: Aug 4, 2025

Practice Location

Address: 1000 CLUB VILLAGE DR
City: Columbia
State: Missouri
ZIP Code: 65203-4405
Phone: (573) 449-8330

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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