Walgreen Eastern Co Inc

Pharmacy · Willimantic, CT

Organization Active NPI

NPI number 1912912262

Practice location

1475 Main St
Willimantic, CT 06226-1914
Phone
(860) 423-6304

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NPI record

NPI
1912912262
Entity type
Organization (Type 2)
Enumeration date
July 29, 2006
Last updated
June 24, 2025
Certified
June 24, 2025
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 960 CT
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St # 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 #07333
  • Walgreens #07333

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 1475 Main St, Willimantic, CT 06226-1914. The NPI number 1912912262 was assigned on July 29, 2006 and the record was last updated on June 24, 2025.

Walgreen Eastern Co Inc lists a license in the registry: #960 (CT) 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 1912912262.

What is the phone number of Walgreen Eastern Co Inc?

The phone number listed for the practice location is (860) 423-6304.

Where is Walgreen Eastern Co Inc located?

1475 Main St, Willimantic, CT 06226-1914.

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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