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 1770844623

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

Licensed in
IL
In the registry since
2012
Specialties on file
3

Practice location Address checks out

10613 N Knoxville Ave
Peoria, IL 61615-1110
Phone: (309) 243-1176
Fax: (309) 243-1187
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 054.019050 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1770844623
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens # 12367; Walgreens # 12367
NPI enumeratedJune 6, 2012
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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