NPI 1518195429

Walgreen Co

Organisation Pharmacy Lahaina, HI

Practice location

Address: 342 Keawe St Bldg D, Lahaina, HI 96761-2739
Phone: (808) 667-9515
Fax: (808) 667-9521
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 PHY 774 (HI)

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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: 1518195429
Entity type: Organization
NPI issued: 30 Jun 2009
Record last updated: 25 Jun 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.