NPI 1104166479

Walgreen Co

Organisation Pharmacy Eagle River, AK

Practice location

Address: 12051 Old Glenn Hwy, Eagle River, AK 99577-7736
Phone: (907) 696-4000
Fax: (907) 696-4001
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 485 (AK)

Other Pharmacy providers in Alaska →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Alaska →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1104166479
Entity type: Organization
NPI issued: 25 Feb 2013
Record last updated: 28 Mar 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.