Organization · Type 2 NPI

Walgreen Co

Pharmacy · Bonita Springs, FL

NPI number 1679588008 Active

Practice location

25091 S Tamiami Trl
Bonita Springs, FL 34134-7804

Call (239) 948-7532 Map

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	PH0018003 (FL)
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…

Another provider at this address

Anthony Steven MaltaisPharmacist Bonita Springs, FL NPI 1073375796

Other pharmacy providers in Bonita Springs

See all in Bonita Springs →

NPI record

NPI: 1679588008
Entity type: Organization (Type 2)
Issued: Jul 31, 2006
Last updated: Sep 3, 2026
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #6499 · doing business as
Walgreens #6499 · 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 1679588008

Walgreen Co's National Provider Identifier is 1679588008, issued on Jul 31, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Bonita Springs, FL. The record was last updated on Sep 3, 2026.