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Walgreen Co

Pharmacy in Las Cruces, NM. Organization (NPI-2).

NPI number1811904717
StatusActive
Last updated in NPPESSep 9, 2026

Details

NPI
1811904717
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Aug 2, 2006
Certification date
Sep 9, 2026
Last updated
Sep 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X PharmacyPH000004080NMYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #07107 (Doing Business As)

Practice location

2300 E Lohman Ave
Las Cruces, NM 88001-8492

Phone 575-647-2506

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4509

Phone 847-527-2489 · Fax 217-709-2344

Authorized official

Jennifer Ponce
Manager
8475272489

Is something wrong?

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