Organization · Type 2 NPI

Walgreen Co

Pharmacy · San Juan, PR

NPI number 1801186283 Active

Practice location

576 Calle Cesar Gonzalez Ste 206
San Juan, PR 00918-3757

Call (787) 777-1120 Map

Fax (787) 777-1124

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	19-F-3460 (PR)
Community/Retail Pharmacy	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	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…

3 other providers at this address

Other pharmacy providers in San Juan

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NPI record

NPI: 1801186283
Entity type: Organization (Type 2)
Issued: Apr 19, 2011
Last updated: Oct 20, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

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Walgreens Specialty Pharmacy 21385 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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.

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About NPI 1801186283

Walgreen Co's National Provider Identifier is 1801186283, issued on Apr 19, 2011. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Juan, PR. The record was last updated on Oct 20, 2026.