Walgreen Co

Pharmacy · Phoenix, AZ

Organization Active NPI

NPI number 1093721797

Practice location

4111 N 24TH St
Phoenix, AZ 85016-6222
Phone
(602) 381-0696

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NPI record

NPI
1093721797
Entity type
Organization (Type 2)
Enumeration date
August 1, 2006
Last updated
March 27, 2025
Certified
March 27, 2025
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 1987 AZ
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone
(847) 527-2489
Fax
(217) 709-2344

Authorized official

Name
Jennifer Ponce
Title
Manager
Phone
(847) 527-2489

Other names

  • Walgreens #04722
  • Walgreens #04722

About Walgreen Co

Walgreen Co is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 4111 N 24TH St, Phoenix, AZ 85016-6222. The NPI number 1093721797 was assigned on August 1, 2006 and the record was last updated on March 27, 2025.

Walgreen Co lists a license in the registry: #1987 (AZ) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jennifer Ponce, Manager.

Frequently asked questions

What is the NPI number of Walgreen Co?

The NPI number is 1093721797.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (602) 381-0696.

Where is Walgreen Co located?

4111 N 24TH St, Phoenix, AZ 85016-6222.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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