Walgreen Co
Pharmacy in Brentwood, CA. Organization (NPI-2).
NPI number1386859080
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1386859080
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- May 14, 2007
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PHY48613 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #09978 (Doing Business As)
Practice location
6570 Lone Tree WayBrentwood, CA 94513-5257
Phone 925-240-6043 · Fax 925-240-6134
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4515
Phone 847-527-2489 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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All 6 Pharmacy providers in Brentwood · All 1,442 providers in Brentwood
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