NPI 1629083522
Walgreen Co
Practice location
- Address
- 1115 N Riverside Dr, Espanola, NM 87532-2802
- Phone
- (505) 753-7005
- 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
- 1629083522
- Entity type
- Organization
- NPI issued
- 29 Jul 2006
- Record last updated
- 30 Mar 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.