Organization · Type 2 NPI

Walgreen Co

Pharmacy · Rockford, IL

NPI number 1699780841 Active

Practice location

3803 Auburn St
Rockford, IL 61101-2501

Call (815) 963-3705 Map

Fax (815) 963-1776

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	54011201 (IL)
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…

4 other providers at this address

Other pharmacy providers in Rockford

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NPI record

NPI: 1699780841
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Sep 8, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #02585 · doing business as
Walgreens #02585 · 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 1699780841

Walgreen Co's National Provider Identifier is 1699780841, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Rockford, IL. The record was last updated on Sep 8, 2025.