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 1790790913

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Lyons, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3

Practice location Address checks out

4101 1st Ave
Lyons, IL 60534-1028
Phone: (708) 447-6851
Fax: (708) 447-0568
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 054.019277 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1790790913
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #01450; Walgreens #01450
NPI enumeratedJuly 29, 2006
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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