Organization · Type 2 NPI

Walgreen Co

Pharmacy · Studio City, CA

NPI number 1366718587 Active

Practice location

11000 Ventura Blvd
Studio City, CA 91604-3546

Call (818) 761-6563 Map

Fax (818) 761-4491

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	PHY50835 (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…

6 other providers at this address

Other pharmacy providers in Studio City

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NPI record

NPI: 1366718587
Entity type: Organization (Type 2)
Issued: Apr 2, 2012
Last updated: Jun 9, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #11918 · doing business as
Walgreens #11918 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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About NPI 1366718587

Walgreen Co's National Provider Identifier is 1366718587, issued on Apr 2, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Studio City, CA. The record was last updated on Jun 9, 2026.