NPI 1710119201

Walgreen Co

Organisation Pharmacy Mahomet, IL

Practice location

Address: 104 N Lombard St, Mahomet, IL 61853-9097
Phone: (217) 586-3460
Fax: (217) 586-3523
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 054-016739 (IL)

Other Pharmacy providers in Illinois →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1710119201
Entity type: Organization
NPI issued: 17 Aug 2009
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.