Walgreen Co

NPI #1063428530 in Horn Lake, Mississippi

Provider Information

NPI Number
1063428530
Entity Type
Organization
Organization Name
Walgreen Co
Subpart
Yes (part of a larger organization)
Parent Organization
WALGREENS BOOTS ALLIANCE INC
Primary Specialty
Pharmacy
Enumeration Date
Aug 1, 2006
Last Updated
Jan 30, 2026

Practice Location

Address
4028 GOODMAN RD W
ZIP Code
38637-1325
Phone
(662) 393-3477

Authorized Official

Name
JENNIFER PONCE
Title
MANAGER
Phone
(847) 527-2489

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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