Walgreen Co
Walgreen Co is a Clinical Medical Laboratory in Plymouth, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
2455 Eastern AvePlymouth, WI 53073-4240
Phone: (920) 893-5895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy (primary) | Taxonomy 333600000X · Licence 8411 (WI) |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
Record details
| NPI number | 1508871682 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Walgreens Boots Alliance, Inc |
| Authorized official | Jennifer Ponce — Manager · (847) 527-2489 |
| Other names | Walgreens #01497; Walgreens #01497 |
| NPI enumerated | July 29, 2006 |
| Last updated in NPPES | September 10, 2024 |
| Certification date | September 10, 2024 |
| Mailing address | 1901 E Voorhees St, Ms 790, Danville, IL 61834-4509 |