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Walgreen Co — NPI 1699780718, Boise, ID | NPI Central

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NPI 1699780718

OrganizationActive

Walgreen Co

NPI 1699780718 · Pharmacy · Boise, ID

Provider details

NPI number: 1699780718
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 38566RP (ID)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

4924 W Overland Rd

Boise, ID 83705-2821

Phone: (208) 336-1728

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1901 E Voorhees St # Ms 790

Danville, IL 61834-4515

Other names (DBA / former)

Doing business as: Walgreens #05185
Doing business as: Walgreens #05185

Registry dates

Enumerated: 2006-07-29
Last updated: 2025-06-23
Certified: 2025-06-23

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