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

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1003098344

Walgreen Co is a Durable Medical Equipment & Medical Supplies in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

22318 Pontiac Trl
South Lyon, MI 48178-1657
Phone: (248) 486-5216
Fax: (248) 486-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence L1220163 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1003098344
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #10778; Walgreens #10778
NPI enumeratedNovember 28, 2007
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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