NPI 1134463359

Walgreen Co

Organisation Pharmacy Laramie, WY

Practice location

Address: 4005 E Grand Ave, Laramie, WY 82070-5161
Phone: (307) 745-1557
Fax: (307) 742-0787
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 R10091 (WY)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1134463359
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 10 Nov 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.