NPI 1225282833

Walgreen Co

Organisation Pharmacy Lake Wales, FL

Practice location

Address: 24170 US Highway 27, Lake Wales, FL 33859-7801
Phone: (863) 676-7569
Fax: (863) 676-7937
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 PH23989 (FL)

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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: 1225282833
Entity type: Organization
NPI issued: 10 Nov 2008
Record last updated: 30 Jan 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.