NPI 1003002254
Walgreen Co
Practice location
- Address
- 5104 Bobby Hicks Hwy, Gray, TN 37615-6217
- Phone
- (423) 477-3372
- Fax
- (423) 477-8533
- Mailing address
- 1901 E Voorhees St Ms #790, Danville, IL 61834-4509
Authorised official
- Name
- Jennifer Ponce
- Title
- Manager
- Phone
- (847) 527-2489
Registered specialties (3)
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1003002254
- Entity type
- Organization
- NPI issued
- 21 Sep 2007
- Record last updated
- 5 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.