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 1144576182

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
Specialties on file
3

Practice location Address checks out

915 Hill St
Ellisville, MS 39437-2419
Phone: (601) 477-3573
Fax: (601) 477-3572
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 11555/1.1 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1144576182
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Ellisville Drug #15828, Powered By Walgreens; Ellisville Drug #15828, Powered By Walgreens
NPI enumeratedJuly 27, 2012
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515