Walgreen Eastern Co INC
Pharmacy in Fort Kent, ME. Organization (NPI-2).
NPI number1750806014
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1750806014
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Eastern Co INC
- Organization subpart
- Yes
- Enumeration date
- Aug 8, 2017
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Waglreens #19241 (Doing Business As)
Practice location
84 E Main StFort Kent, ME 04743-1322
Phone 207-834-5444 · Fax 207-834-2897
Mailing address
1901 E Voorhees StDanville, IL 61834-4515
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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