Organization · NPI-2
Walgreen Co
Pharmacy · Olympia Fields, IL
NPI number1740295955
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1740295955
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Jul 22, 2026
- Last updated
- Jul 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 054.019287 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #07411 (Doing Business As)
Practice location
3200 Vollmer RdOlympia Fields, IL 60461-1122
Phone 708-503-5470
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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