Walgreen Eastern Co INC
Pharmacy in Gorham, ME. Organization (NPI-2).
NPI number1982128088
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1982128088
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Eastern Co INC
- Organization subpart
- Yes
- Enumeration date
- Jul 31, 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
- Walgreens #19692 (Doing Business As)
Practice location
120 Main StGorham, ME 04038-1306
Phone 207-839-3160 · Fax 207-839-7038
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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