Walgreen Co

Pharmacy · Bridgeport, CT

Organization Active NPI

NPI number 1467986455

Practice location

300 Fairfield Ave Ste 103
Bridgeport, CT 06604-4316
Phone
(203) 923-0054
Fax
(203) 923-0055

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NPI record

NPI
1467986455
Entity type
Organization (Type 2)
Enumeration date
April 17, 2017
Last updated
November 6, 2024
Certified
November 6, 2024
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —
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 Specialty Pharmacy #16548

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 300 Fairfield Ave Ste 103, Bridgeport, CT 06604-4316. The NPI number 1467986455 was assigned on April 17, 2017 and the record was last updated on November 6, 2024.

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 1467986455.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (203) 923-0054.

Where is Walgreen Co located?

300 Fairfield Ave Ste 103, Bridgeport, CT 06604-4316.

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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