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Walgreen Co — NPI 1477870103, Boise, ID | NPI Central

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NPI 1477870103

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Walgreen Co

NPI 1477870103 · Pharmacy · Boise, ID

Provider details

NPI number: 1477870103
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 38495RP (ID)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

6195 S Five Mile Rd

Boise, ID 83709-6202

Phone: (208) 319-0191

Fax: (208) 319-0197

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1901 E Voorhees St

Danville, IL 61834-4515

Other names (DBA / former)

Doing business as: Walgreens #11083
Doing business as: Walgreens #11083

Registry dates

Enumerated: 2010-04-20
Last updated: 2025-08-06
Certified: 2025-08-06

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