NPI 1427259852

Walgreen Co

Organisation Pharmacy Deridder, LA

Practice location

Address: 916 N Pine St, Deridder, LA 70634-2816
Phone: (337) 462-2019
Fax: (337) 462-2339
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 1933224 (LA)

Other Pharmacy providers in Louisiana →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1427259852
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 20 Nov 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.