<Unavail>

LBN: Walgreen Co
<Unavail> is an health care organization with primary practice located at 2040 S Mariposa Rd , Stockton CA 95205-7736. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (209) 465-4167, or through Ponce, Jennifer via phone (847) 527-2489.

Contact Information

Primary practice address
2040 S Mariposa Rd Stockton CA 95205-7736
Phone: (209) 465-4167
Fax: (209) 465-4873
Website:
Map and Directions
Authorized official contact:
Name: Ponce, Jennifer
Phone: (847) 527-2489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY51040 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1649526682
LBN Legal business name Walgreen Co
DBA Doing business as <Unavail>
Authorized official Ponce, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2012
Last updated Jun 9th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649526682 NPPES
California MEDICAID 1649526682
California Other 5644693

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