NPI 1104832807
Walgreen Co
Practice location
- Address
- 17051 Bear Valley Rd, Hesperia, CA 92345-1845
- Phone
- (760) 948-7901
- Fax
- (760) 948-7954
- 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
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1104832807
- Entity type
- Organization
- NPI issued
- 1 Aug 2006
- Record last updated
- 8 Jun 2026
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.