Whalio Doctors

NPI 1477568624

Walgreen Co

Organisation Pharmacy Bridgeton, MO

Practice location

Address
12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505
Phone
(314) 770-2479
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 5397 (MO)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1477568624
Entity type
Organization
NPI issued
29 Jul 2006
Record last updated
16 Jun 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.