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 1407891351

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Hesperia, 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

15480 Main St
Hesperia, CA 92345-3318
Phone: (760) 947-2283
Fax: (761) 947-7396
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PHY47527 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1407891351
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #09780; Walgreens #09780
NPI enumeratedJune 17, 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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