NPI
Walgreen Co
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-07-29
- Last updated
- 2025-02-11
Specialties
Licenses
- License IL
- 054.019152
Location
- Practice location
- 1408 N Main St
- City
- Bloomington IL
- Postal code
- 61701-1762
- Phone
- (309) 827-3069
Organization contact
- Name
- JENNIFER PONCE
- Title
- MANAGER
- Phone
- 8475272489
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Bloomington, IL. 2,435 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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