Organization · Type 2 NPI

Walgreen Eastern Co Inc

Pharmacy · Portland, ME

NPI number 1770816704 Active

Practice location

616 Forest Ave
Portland, ME 04101-1510

Call (207) 761-9454 Map

Fax (207) 761-9462

Mailing address

1901 E Voorhees St
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PH50001390 (ME)
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…

9 other providers at this address

Other pharmacy providers in Portland

See all in Portland →

NPI record

NPI: 1770816704
Entity type: Organization (Type 2)
Issued: Sep 9, 2009
Last updated: Aug 6, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #12325 · doing business as
Walgreens #12325 · doing business as

Authorized official

Jennifer Ponce
Manager
(224) 475-5702

Verify this record

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.

Is this your record? How to update it.

About NPI 1770816704

Walgreen Eastern Co Inc's National Provider Identifier is 1770816704, issued on Sep 9, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Portland, ME. The record was last updated on Aug 6, 2026.