Organization · Type 2 NPI

Walgreen Co

Pharmacy · San Diego, CA

NPI number 1992956700 Active

Practice location

640 University Ave
San Diego, CA 92103-3213

Call (619) 295-6688 Map

Fax (619) 294-3388

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PHY49768 (CA)
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…

3 other providers at this address

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NPI record

NPI: 1992956700
Entity type: Organization (Type 2)
Issued: Oct 10, 2008
Last updated: Jun 10, 2026
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #13434 · 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 1992956700

Walgreen Co's National Provider Identifier is 1992956700, issued on Oct 10, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Diego, CA. The record was last updated on Jun 10, 2026.