Organization · Type 2 NPI

Walgreen Co

Pharmacy · West Hollywood, CA

NPI number 1467724716 Active

Practice location

8490 Santa Monica Blvd Ste 1
West Hollywood, CA 90069-4261

Call (310) 657-4333 Map

Fax (310) 657-4818

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	PHY50913 (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…

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NPI record

NPI: 1467724716
Entity type: Organization (Type 2)
Issued: Feb 2, 2012
Last updated: Jun 10, 2026
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #15294 · 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 1467724716

Walgreen Co's National Provider Identifier is 1467724716, issued on Feb 2, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in West Hollywood, CA. The record was last updated on Jun 10, 2026.