Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1003002254

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Gray, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
Specialties on file
3

Practice location Address checks out

5104 Bobby Hicks Hwy
Gray, TN 37615-6217
Phone: (423) 477-3372
Fax: (423) 477-8533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 4444 (TN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1003002254
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #11113; Walgreens #11113
NPI enumeratedSeptember 21, 2007
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address1901 E Voorhees St, Ms #790, Danville, IL 61834-4509

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