Walgreen Co

Pharmacy · Rockford, IL

Organization Active NPI

NPI number 1760952493

Practice location

5503 E State
Rockford, IL 61108-2338
Phone
(779) 208-3626
Fax
(779) 208-3627

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NPI record

NPI
1760952493
Entity type
Organization (Type 2)
Enumeration date
November 26, 2018
Last updated
January 13, 2025
Certified
January 13, 2025
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 #21184

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 5503 E State, Rockford, IL 61108-2338. The NPI number 1760952493 was assigned on November 26, 2018 and the record was last updated on January 13, 2025.

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 1760952493.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (779) 208-3626.

Where is Walgreen Co located?

5503 E State, Rockford, IL 61108-2338.

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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