Organization · Type 2 NPI

Walgreen Co

Pharmacy · Guaynabo, PR

NPI number 1124039359 Active · reactivated Jun 13, 2008

Practice location

100 Ave San Patricio Ste D14
Guaynabo, PR 00968-2643

Call (787) 792-3725 Map

Fax (787) 774-0555

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	19-F-3454 (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: 1124039359
Entity type: Organization (Type 2)
Issued: Aug 11, 2006
Last updated: Oct 14, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #10160 · doing business as
Walgreens #10160 · 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 1124039359

Walgreen Co's National Provider Identifier is 1124039359, issued on Aug 11, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Guaynabo, PR. The record was last updated on Oct 14, 2026.