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Contact Information

WALGREEN CO
1141 N MCEWAN ST
CLARE, MI48617-1107
 Phone: 989-386-6197
 Fax: 989-386-6945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI # 1346404126
LBN Legal business name WALGREEN CO
Authorized official JENNIFER PONCE - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/11/2008
Last updated 10/21/2025 - About 8 months ago
Identifiers
MI License # 5301008926
MI Medicaid 1346404126
MI Other 2371449 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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