MEDICARE: WALGREEN CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PH50001609	OTHER	ME	BOARD OF PHARMACY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376067082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61834-4515
Country	:	US
Telephone Number	:	217-709-2351
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	320 MAIN ST
Second Line	:
City	:	PRESQUE ISLE
State	:	ME
Zip	:	04769-2809
Country	:	US
Telephone Number	:	207-764-5221
Fax Number	:	207-764-4802

Authorized Official
Title or Position	:	MANAGER
Name	:	JENNIFER PONCE
Credential	:
Telephone Number	:	224-475-5702

Provider Enumeration Date	:	08/03/2017
Last Update Date	:	06/02/2026

Similar Medicare Providers

1770654618 — RITE AID OF MAINE INC
Practice Location Address:

320 MAIN STREET
PRESQUE ISLE, ME
04769-2809

Practice Phone: 207-764-5221
Practice Fax:

1376142554 — MELISSA CANTAFIO
Practice Location Address:

320 MAIN ST
PRESQUE ISLE, ME
04769-2809

Practice Phone: 207-764-5221
Practice Fax:

1568122679 — MS. VICKY LEAH OUELLETTE-SPERREY FNP-C
Practice Location Address:

732 MAIN ST
PRESQUE ISLE, ME
04769-2254

Practice Phone: 207-623-8411
Practice Fax: 207-626-4704

1962593665 — NICOLE THERIAULT RD, LD
Practice Location Address:

140 ACADEMY ST
PRESQUE ISLE, ME
04769-3102

Practice Phone: 207-768-4358
Practice Fax:

1396398418 — JARMAL CHARLES MD
Practice Location Address:

140 ACADEMY ST
PRESQUE ISLE, ME
04769-3102

Practice Phone: 207-764-6310
Practice Fax:

1063415123 — DR. ROY FRIEBAND D.O.
Practice Location Address:

140 ACADEMY ST
PRESQUE ISLE, ME
04769-3102

Practice Phone: 207-435-6341
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.