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Walgreen Co.

Pharmacy in Pella, IA. Organization (NPI-2).

NPI number1730058751
StatusActive
Last updated in NPPESOct 12, 2026

Details

NPI
1730058751
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co.
Organization subpart
Yes
Enumeration date
Oct 30, 2025
Certification date
Oct 12, 2026
Last updated
Oct 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Pella Corporation Pharmacy (Doing Business As)

Practice location

1562 Washington St
Ste 100rx
Pella, IA 50219-7580

Phone 641-651-3400 · Fax 641-651-3401

Mailing address

1901 E Voorhees Street
Ms 790
Danville, IL 61834-4515

Phone 217-709-2494 · Fax 217-709-2344

Authorized official

Jennifer Ponce
Manager
8475272489

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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