Walgreen Eastern Co INC

NPI #1982128088 in Gorham, Maine

Provider Information

NPI Number: 1982128088
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: Jul 31, 2017
Last Updated: Jan 14, 2026

Practice Location

Address: 120 MAIN ST
City: Gorham
State: Maine
ZIP Code: 04038-1306
Phone: (207) 839-3160

Authorized Official

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

Specialties & Taxonomy Codes

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

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