Organization · Type 2 NPI

Walgreen Co

Pharmacy · San Diego, CA

NPI number 1073946489 Active

Practice location

301 University Ave
San Diego, CA 92103-3008

Call (619) 325-0423 Map

Fax (619) 325-0429

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	51597 (CA)
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…

Another provider at this address

Christina Sejersen Le, PharmDPharmacist San Diego, CA NPI 1417369935

Other pharmacy providers in San Diego

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NPI record

NPI: 1073946489
Entity type: Organization (Type 2)
Issued: Aug 21, 2013
Last updated: Jun 10, 2026
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens #15388 · doing business as
Walgreens #15388 · 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 1073946489

Walgreen Co's National Provider Identifier is 1073946489, issued on Aug 21, 2013. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Diego, CA. The record was last updated on Jun 10, 2026.