NPI 1356505044

Walgreen Co

Organisation Pharmacy Hayward, WI

Practice location

Address: 10489 State Road 27, Hayward, WI 54843-2000
Phone: (715) 634-1919
Fax: (715) 634-1925
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 8868-042 (WI)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Clinic Pharmacy

Suppliers Taxonomy 3336C0002X

Registry record

NPI: 1356505044
Entity type: Organization
NPI issued: 11 Jul 2008
Record last updated: 2 Oct 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.