Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walgreen Eastern Co Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1033124029

Walgreen Eastern Co Inc is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4201 N Broad St
Philadelphia, PA 19140-3019
Phone: (215) 457-3877
Fax: (215) 457-3363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PP415296L (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1033124029
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #04115; Walgreens #04115
NPI enumeratedJuly 29, 2006
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address1901 E Voorhees St, Mailstop #790, Danville, IL 61834-4509

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