Whalio Doctors

NPI 1063428530

Walgreen Co

Organisation Pharmacy Horn Lake, MS

Practice location

Address
4028 Goodman Rd W, Horn Lake, MS 38637-1325
Phone
(662) 393-3477
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 5296 (MS)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1063428530
Entity type
Organization
NPI issued
1 Aug 2006
Record last updated
30 Jan 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.