Organization · Type 2 NPI

Walgreen Co

Pharmacy · Bermuda Dunes, CA

NPI number 1740295013 Active

Practice location

42010 Washington St
Bermuda Dunes, CA 92203-9610

Call (760) 772-9122 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	PHY44288 (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…

8 other providers at this address

Other pharmacy providers in Bermuda Dunes

TLH Enterprises Inc.Pharmacy Bermuda Dunes, CA NPI 1164791539

See all in Bermuda Dunes →

NPI record

NPI: 1740295013
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Jun 8, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #04757 · doing business as
Walgreens #04757 · 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 1740295013

Walgreen Co's National Provider Identifier is 1740295013, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Bermuda Dunes, CA. The record was last updated on Jun 8, 2026.