Walgreen Co
Pharmacy in Jersey City, NJ. Organization (NPI-2).
NPI number1700891793
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1700891793
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | RS005303 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #03197 (Doing Business As)
Practice location
2395 John F Kennedy BlvdJersey City, NJ 07304
Phone 201-333-4092 · Fax 201-333-2209
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
2244755702
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