NPI 1104092303

Walgreen Co

Organisation Pharmacy Salem, OR

Practice location

Address: 2150 Fairgrounds Rd NE, Salem, OR 97301-0641
Phone: (503) 428-5107
Fax: (503) 428-5113
Mailing address: 1901 E Voorhees St Ms #790, Danville, IL 61834-4515

Authorised official

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

Registered specialties (3)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence RP-0002487-CS (OR)

Other Pharmacy providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Oregon →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1104092303
Entity type: Organization
NPI issued: 7 May 2008
Record last updated: 6 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.