Organization · Type 2 NPI

Walgreen Co

Pharmacy · Los Angeles, CA

NPI number 1720311327 Active

Practice location

11795 W Olympic Blvd
Los Angeles, CA 90064-1211

Call (310) 312-6506 Map

Fax (310) 473-0195

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	50121 (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…

5 other providers at this address

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NPI record

NPI: 1720311327
Entity type: Organization (Type 2)
Issued: Sep 14, 2009
Last updated: Jun 9, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #12419 · doing business as
Walgreens #12419 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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About NPI 1720311327

Walgreen Co's National Provider Identifier is 1720311327, issued on Sep 14, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 9, 2026.