Walgreen Co

NPI #1629084181 in Springfield, Illinois

Provider Information

NPI Number
1629084181
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 1, 2006
Last Updated
Sep 8, 2025

Practice Location

Address
3216 E CLEAR LAKE AVE
ZIP Code
62702-6208
Phone
(217) 544-7948

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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