Organization · Type 2 NPI

Walgreen Co

Pharmacy · San Juan, PR

NPI number 1073786208 Active

Practice location

22 Ave Winston Churchill Ste 117
San Juan, PR 00926-6001

Call (787) 751-7219 Map

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	F-2645 (PR)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1073786208
Entity type: Organization (Type 2)
Issued: Apr 9, 2008
Last updated: Oct 14, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #12649 · doing business as
Walgreens #12649 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073786208

Walgreen Co's National Provider Identifier is 1073786208, issued on Apr 9, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Juan, PR. The record was last updated on Oct 14, 2026.