Organization · Type 2 NPI

Walgreen Co

Pharmacy · Green Bay, WI

NPI number 1689164725 Active

Practice location

500 E Walnut St
Green Bay, WI 54301

Call (920) 785-5925 Map

Fax (920) 785-5926

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	None listed
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

Jack KumbalekPharmacist Green Bay, WI NPI 1558040493

Other pharmacy providers in Green Bay

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NPI record

NPI: 1689164725
Entity type: Organization (Type 2)
Issued: May 15, 2018
Last updated: Dec 5, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #21182 · 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 1689164725

Walgreen Co's National Provider Identifier is 1689164725, issued on May 15, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 5, 2024.