Walgreen Co
Pharmacy · Manteca, CA
Practice location
1071 N Main StManteca, CA 95336-3744
- Phone
- (209) 825-5481
- Fax
- (209) 825-6998
NPI record
- NPI
- 1245245539
- Entity type
- Organization (Type 2)
- Enumeration date
- July 29, 2006
- Last updated
- June 9, 2026
- Certified
- June 9, 2026
- Organization subpart
- Yes
- Parent organization
- Walgreens Holding Company
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
PHY37541 | CA |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
PHY37541 | CA |
Mailing address
1901 E Voorhees St # Ms 790Danville, IL 61834-4515
- Phone
- (847) 527-2489
- Fax
- (217) 709-2344
Authorized official
- Name
- Jennifer Ponce
- Title
- Manager
- Phone
- (847) 527-2489
Other names
- Walgreens #10454
- Walgreens #10454
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 1071 N Main St, Manteca, CA 95336-3744. The NPI number 1245245539 was assigned on July 29, 2006 and the record was last updated on June 9, 2026.
Walgreen Co lists 2 licenses in the registry: #PHY37541 (CA) for Pharmacy; #PHY37541 (CA) for Community/Retail 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 1245245539.
What is the phone number of Walgreen Co?
The phone number listed for the practice location is (209) 825-5481.
Where is Walgreen Co located?
1071 N Main St, Manteca, CA 95336-3744.
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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