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Contact Information

WALGREEN CO
645 E JUBAL EARLY DR
WINCHESTER, VA22601-5179
 Phone: 540-667-1282
 Fax: 540-667-1714
 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 # 1417103839
LBN Legal business name WALGREEN CO
Authorized official JENNIFER PONCE - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/18/2008
Last updated 01/23/2026 - About 4 months ago
Identifiers
VA License # 0201004245
VA Medicaid 1417103839
VA Other 4841018 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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