Walgreen Co

NPI #1962417014 in Portage, Wisconsin

Provider Information

NPI Number: 1962417014
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: Oct 9, 2024

Practice Location

Address: 2700 NEW PINERY RD
City: Portage
State: Wisconsin
ZIP Code: 53901-9221
Phone: (608) 742-5727

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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