Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1083629091

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Beaumont, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

1400 Beaumont Ave
Beaumont, CA 92223-4704
Phone: (951) 769-4295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PHY46823 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1083629091
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #07714; Walgreens #07714
NPI enumeratedJuly 29, 2006
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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