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Walgreen Co

Pharmacy in San Antonio, TX. Organization (NPI-2).

NPI number1932394848
StatusActive
Last updated in NPPESNov 20, 2025

Details

NPI
1932394848
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Sep 13, 2007
Certification date
Nov 20, 2025
Last updated
Nov 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy25717TXYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
291U00000X Clinical Medical Laboratory––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Walgreens #11276 (Doing Business As)

Practice location

502 New Valley Hi Dr
San Antonio, TX 78227-4394

Phone 210-673-0817 · Fax 210-673-1939

Mailing address

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

Phone 847-527-2489 · 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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