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Contact Information

WALGREEN CO.
220 US RTE 1 STE 1
BUCKSPORT, ME04416
 Phone: 207-469-2201
 Fax: 207-469-6803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 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 # 1528582475
LBN Legal business name WALGREEN CO.
Authorized official JENNIFER PONCE - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/02/2017
Last updated 05/12/2026 - About 3 weeks ago
Identifiers
ME Medicaid 1528582475
ME Other PH50001573 BOARD OF PHARMACY
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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