Organization · Type 2 NPI

Walgreen Co

Community/Retail Pharmacy · Erie, CO

NPI number 1912140633 Active

Practice location

490 Erie Pkwy
Erie, CO 80516-5435

Call (303) 586-8276 Map

Fax (303) 586-8282

Mailing address

1901 E Voorhees St # 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	PDO-0769 (CO)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

8 other providers at this address

Other community/retail pharmacy providers in Erie

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NPI record

NPI: 1912140633
Entity type: Organization (Type 2)
Issued: Apr 10, 2009
Last updated: Oct 15, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #12864 · doing business as
Walgreens #12864 · 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 1912140633

Walgreen Co's National Provider Identifier is 1912140633, issued on Apr 10, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Erie, CO. The record was last updated on Oct 15, 2026.