Walgreen Eastern Co Inc

Pharmacy · Sanford, ME

Organization Active NPI

NPI number 1649541616

Practice location

868 Main St
Sanford, ME 04073-3530
Phone
(207) 490-4008
Fax
(207) 490-4025

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NPI record

NPI
1649541616
Entity type
Organization (Type 2)
Enumeration date
January 23, 2012
Last updated
August 6, 2026
Certified
August 6, 2026
Organization subpart
Yes
Parent organization
Walgreens Holding Company

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X PH50001448 ME
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
Danville, IL 61834-4515
Phone
(217) 709-2351
Fax
(217) 709-2344

Authorized official

Name
Jennifer Ponce
Title
Manager
Phone
(224) 475-5702

Other names

  • Walgreens # 12400
  • Walgreens # 12400

About Walgreen Eastern Co Inc

Walgreen Eastern Co Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 868 Main St, Sanford, ME 04073-3530. The NPI number 1649541616 was assigned on January 23, 2012 and the record was last updated on August 6, 2026.

Walgreen Eastern Co Inc lists a license in the registry: #PH50001448 (ME) 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 Eastern Co Inc?

The NPI number is 1649541616.

What is the phone number of Walgreen Eastern Co Inc?

The phone number listed for the practice location is (207) 490-4008.

Where is Walgreen Eastern Co Inc located?

868 Main St, Sanford, ME 04073-3530.

What is the taxonomy code for Walgreen Eastern Co Inc?

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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