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 1417131160

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

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

Practice location Address checks out

1410 N Bluff St
Fulton, MO 65251-2350
Phone: (573) 592-7030
Fax: (573) 592-7399
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 208019420 (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1417131160
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #10907; Walgreens #10907
NPI enumeratedDecember 18, 2007
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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