Wellformed AI

NPI 1861407942 · live from the CMS NPI Registry

Walgreen Co

Pharmacy in Cheyenne, WY. National Provider Identifier 1861407942, active.

NPI record

NPI1861407942 Type 2 · organization
StatusActive
Primary specialtyPharmacy 333600000X
Practice location2304 E Lincolnway, Cheyenne, WY 82001
Practice phone307-635-0241
Mailing address1901 E Voorhees St # Ms 790, Danville, IL 61834
EnumeratedJuly 29, 2006
Last updatedAugust 27, 2026
Authorized officialJennifer Ponce, Manager
Other namesWalgreens #05838

Taxonomies and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy primary333600000X5203663 (WY)
Pharmacy, Community/Retail Pharmacy3336C0003X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.