NPI 1013280403

Walgreen Co.

Organisation Pharmacy Minneapolis, MN

Practice location

Address: 2100 Lyndale Ave S STE a, Minneapolis, MN 55405
Phone: (612) 872-7808
Fax: (612) 874-1084
Mailing address: 1901 E Voorhees St Ms 790, Danville, IL 61834-4509

Authorised official

Name: Jennifer Ponce
Title: Manager
Phone: (847) 527-2489

Registered specialties (3)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 263842 (MN)

Other Pharmacy providers in Minnesota →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1013280403
Entity type: Organization
NPI issued: 15 Feb 2012
Record last updated: 6 Nov 2024

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.