Walgreen Co

Pharmacy · Champaign, IL

Organization Active NPI

NPI number 1558636555

Practice location

101 W University Ave Ste 102
Champaign, IL 61820-3909
Phone
(217) 366-1278
Fax
(217) 366-6897

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NPI record

NPI
1558636555
Entity type
Organization (Type 2)
Enumeration date
March 9, 2012
Last updated
December 2, 2024
Certified
December 2, 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 #15283

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 101 W University Ave Ste 102, Champaign, IL 61820-3909. The NPI number 1558636555 was assigned on March 9, 2012 and the record was last updated on December 2, 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 1558636555.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (217) 366-1278.

Where is Walgreen Co located?

101 W University Ave Ste 102, Champaign, IL 61820-3909.

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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