NPI 1003862129
Walgreen Co
Practice location
- Address
- 4817 W Fullerton Ave, Chicago, IL 60639-2503
- Phone
- (773) 889-7411
- Fax
- (773) 889-4631
- Mailing address
- 1901 E Voorhees St # 790, Danville, IL 61834-4515
Authorised official
- Name
- Jennifer Ponce
- Title
- Manager
- Phone
- (847) 527-2489
Registered specialties (3)
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1003862129
- Entity type
- Organization
- NPI issued
- 26 May 2006
- Record last updated
- 4 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.