Walgreen Co

Community/Retail Pharmacy · Boulder, CO

Organization Active NPI

NPI number 1578086922

Practice location

4800 Baseline Rd Ste E107
Boulder, CO 80303-2643
Phone
(303) 499-1919
Fax
(303) 499-3911

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NPI record

NPI
1578086922
Entity type
Organization (Type 2)
Enumeration date
July 18, 2017
Last updated
July 22, 2026
Certified
July 22, 2026
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

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

Mailing address

1901 E Voorhees St
Ms 790
Danville, 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 #19103

About Walgreen Co

Walgreen Co is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 4800 Baseline Rd Ste E107, Boulder, CO 80303-2643. The NPI number 1578086922 was assigned on July 18, 2017 and the record was last updated on July 22, 2026.

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 1578086922.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (303) 499-1919.

Where is Walgreen Co located?

4800 Baseline Rd Ste E107, Boulder, CO 80303-2643.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 3336C0003X – Community/Retail 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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