Whalio Doctors

NPI 1003098344

Walgreen Co

Organisation Pharmacy South Lyon, MI

Practice location

Address
22318 Pontiac Trl, South Lyon, MI 48178-1657
Phone
(248) 486-5216
Fax
(248) 486-5460
Mailing address
1901 E Voorhees St Ms 790, Danville, IL 61834-4515

Authorised official

Name
Jennifer Ponce
Title
Manager
Phone
(847) 527-2489

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence L1220163 (MI)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1003098344
Entity type
Organization
NPI issued
28 Nov 2007
Record last updated
3 Jun 2026

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.