Whalio Doctors

NPI 1407102106

Walgreen Co

Organisation Pharmacy Sullivan, MO

Practice location

Address
6 E Springfield Rd, Sullivan, MO 63080-1310
Phone
(573) 468-6464
Fax
(573) 468-3809
Mailing address
1901 E Voorhees St Ms 790, Danville, IL 61834-4509

Authorised official

Name
Kira Taylor
Title
Manager
Phone
(217) 709-2351

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence 2017006068 (MO)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1407102106
Entity type
Organization
NPI issued
31 Jul 2012
Record last updated
3 May 2022

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.