Organization · Type 2 NPI

Walgreen Co

Pharmacy · Ann Arbor, MI

NPI number 1871924902 Active

Practice location

317 S State St
Ann Arbor, MI 48104-2020

Call (734) 352-3623 Map

Fax (734) 913-8158

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	5301010199 (MI)
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: 1871924902
Entity type: Organization (Type 2)
Issued: Nov 27, 2013
Last updated: Jun 3, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #15650 · doing business as
Walgreens #15650 · 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 1871924902

Walgreen Co's National Provider Identifier is 1871924902, issued on Nov 27, 2013. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jun 3, 2026.