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Walgreen Co — NPI 1245674928, Ewa Beach, HI | NPI Central

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NPI 1245674928

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Walgreen Co

NPI 1245674928 · Pharmacy · Ewa Beach, HI

Provider details

NPI number: 1245674928
Entity type: Organization
Primary specialty: PharmacySuppliers
Parent organization: Walgreens Boots Alliance Inc
Organization subpart: Yes
Authorized official: Jennifer Ponce, Manager(847) 527-2489

Specialties & taxonomies

PharmacyPrimary333600000XLicense PHY838 (HI)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

91-1081 Keaunui Dr

Ewa Beach, HI 96706-6351

Phone: (808) 683-1166

Fax: (808) 683-1168

Approximate (ZIP-level) locationGet directions

More HI providers

Mailing address

1901 E Voorhees St

Danville, IL 61834-4509

Other names (DBA / former)

Doing business as: Walgreens #15146
Doing business as: Walgreens #15146

Registry dates

Enumerated: 2013-04-24
Last updated: 2025-03-28
Certified: 2025-03-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.