Walgreen Co

Pharmacy · Lithia, FL

Organization Active NPI

NPI number 1639354186

Practice location

5605 Fishhawk Crossing Blvd
Lithia, FL 33547-5901
Phone
(813) 661-9109
Fax
(813) 661-9485

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NPI record

NPI
1639354186
Entity type
Organization (Type 2)
Enumeration date
January 3, 2008
Last updated
May 14, 2026
Certified
May 14, 2026
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X PH23282 FL
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

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 #10484
  • Walgreens #10484

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 5605 Fishhawk Crossing Blvd, Lithia, FL 33547-5901. The NPI number 1639354186 was assigned on January 3, 2008 and the record was last updated on May 14, 2026.

Walgreen Co lists a license in the registry: #PH23282 (FL) 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 1639354186.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (813) 661-9109.

Where is Walgreen Co located?

5605 Fishhawk Crossing Blvd, Lithia, FL 33547-5901.

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.