Organization · Type 2 NPI

Walgreen Co

Pharmacy · Queen Creek, AZ

NPI number 1790905537 Active

Practice location

3111 W Hunt Hwy
Queen Creek, AZ 85144-9357

Call (480) 214-2561 Map

Fax (480) 214-2565

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	4674 (AZ)
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…

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NPI record

NPI: 1790905537
Entity type: Organization (Type 2)
Issued: Apr 26, 2007
Last updated: Aug 6, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #09840 · doing business as
Walgreens #09840 · 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 1790905537

Walgreen Co's National Provider Identifier is 1790905537, issued on Apr 26, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Queen Creek, AZ. The record was last updated on Aug 6, 2025.