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 1104166479

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Eagle River, Alaska. Licensed in Alaska. Registered with an NPI since 2013.

Licensed in
AK
In the registry since
2013
Specialties on file
3

Practice location Address checks out

12051 Old Glenn Hwy
Eagle River, AK 99577-7736
Phone: (907) 696-4000
Fax: (907) 696-4001
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 485 (AK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1104166479
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #15362; Walgreens #15362
NPI enumeratedFebruary 25, 2013
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address1901 E Voorhees St, Ms #790, Danville, IL 61834-4509

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