Walgreen Eastern Co INC

NPI #1912422288 in Cornish, Maine

Provider Information

NPI Number: 1912422288
Entity Type: Organization
Organization Name: Walgreen Eastern Co INC
Subpart: Yes (part of a larger organization)
Parent Organization: WALGREENS BOOTS ALLIANCE INC
Primary Specialty: Pharmacy
Enumeration Date: Aug 8, 2017
Last Updated: Jan 14, 2026

Practice Location

Address: 151 MAPLE ST
City: Cornish
State: Maine
ZIP Code: 04020-3103
Phone: (207) 625-8494

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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