Walgreen Co

NPI #1629297734 in Fortuna, California

Provider Information

NPI Number
1629297734
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
Apr 25, 2007
Last Updated
Aug 6, 2025

Practice Location

Address
1065 S FORTUNA BLVD
ZIP Code
95540-3010
Phone
(707) 726-0377

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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