Organization · Type 2 NPI

Walgreen Co

Pharmacy · Baton Rouge, LA

NPI number 1396094801 Active

Practice location

5298 Highland Rd
Baton Rouge, LA 70808-6530

Call (225) 767-7003 Map

Fax (225) 767-7048

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	PHY.006621 (LA)
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

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NPI record

NPI: 1396094801
Entity type: Organization (Type 2)
Issued: Aug 30, 2012
Last updated: Mar 28, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens #13925 · doing business as
Walgreens #13925 · 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 1396094801

Walgreen Co's National Provider Identifier is 1396094801, issued on Aug 30, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 28, 2025.