Organization · Type 2 NPI

Walgreen Co

Pharmacy · Dallas, TX

NPI number 1285844605 Active

Practice location

7777 Forest Ln Ste A062
Dallas, TX 75230-6881

Call (972) 661-0835 Map

Fax (972) 661-3176

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	25625 (TX)
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: 1285844605
Entity type: Organization (Type 2)
Issued: May 23, 2007
Last updated: Oct 20, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance

Other names

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Walgreens Specialty Pharmacy #11401 · 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 1285844605

Walgreen Co's National Provider Identifier is 1285844605, issued on May 23, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Dallas, TX. The record was last updated on Oct 20, 2025.