Whalio Doctors

NPI 1013922277

Walgreen Co

Organisation Pharmacy Jackson, MS

Practice location

Address
310 Meadowbrook Rd, Jackson, MS 39206-5328
Phone
(601) 362-6409
Fax
(601) 362-9363
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
Suppliers Taxonomy 333600000X Licence 0420701WJ (MS)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1013922277
Entity type
Organization
NPI issued
29 Jul 2006
Record last updated
12 Sep 2024

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.