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 1154357655

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Live Oak, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3

Practice location Address checks out

1515 Ohio Ave S
Live Oak, FL 32064-4513
Phone: (386) 330-2766
Fax: (386) 330-5350
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PH22071 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1154357655
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #09724; Walgreens #09724
NPI enumeratedJune 25, 2006
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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