Organization · Type 2 NPI

Walgreen Co

Pharmacy · Pembroke Pines, FL

NPI number 1962683771 Active

Practice location

201 N Hiatus Rd
Pembroke Pines, FL 33026-4006

Call (954) 431-4699 Map

Fax (954) 431-4656

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	PH23230 (FL)
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…

2 other providers at this address

Other pharmacy providers in Pembroke Pines

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NPI record

NPI: 1962683771
Entity type: Organization (Type 2)
Issued: Nov 20, 2007
Last updated: Oct 2, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #10830 · doing business as
Walgreens #10830 · 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 1962683771

Walgreen Co's National Provider Identifier is 1962683771, issued on Nov 20, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Oct 2, 2025.