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 1063883403

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
3

Practice location Address checks out

4501 Woodward Ave Ste 105
Detroit, MI 48201-1890
Phone: (313) 230-2170
Fax: (312) 230-2004
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 5301010747 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (MI)
Community/Retail Pharmacy Taxonomy 3336C0003X (MI)

Record details

NPI number1063883403
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens Specialty Pharmacy #16374
NPI enumeratedOctober 12, 2015
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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