Organization · Type 2 NPI

Walgreen Co

Pharmacy · Orlando, FL

NPI number 1114162450 Active

Practice location

5881 Turkey Lake Rd Ste B2-02
Orlando, FL 32819-7747

Call (407) 903-1752 Map

Fax (407) 903-1757

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	PH23863 (FL)
Clinic Pharmacy	3336C0002X	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: 1114162450
Entity type: Organization (Type 2)
Issued: Dec 15, 2008
Last updated: Sep 10, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Team Care · doing business as
Team Care · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

Verify this record

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 1114162450

Walgreen Co's National Provider Identifier is 1114162450, issued on Dec 15, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Orlando, FL. The record was last updated on Sep 10, 2025.