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 1558636555

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Champaign, Illinois. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

101 W University Ave Ste 102
Champaign, IL 61820-3909
Phone: (217) 366-1278
Fax: (217) 366-6897
Show map & directions

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

Specialties & licences

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

Record details

NPI number1558636555
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens Specialty Pharmacy #15283
NPI enumeratedMarch 9, 2012
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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