Walgreen Co
Walgreen Co is a Durable Medical Equipment & Medical Supplies in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
15371 Dedeaux RdGulfport, MS 39503-3855
Phone: (228) 539-9890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy (primary) | Taxonomy 333600000X · Licence 0465101WG (MS) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
Record details
| NPI number | 1477568632 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Walgreens Boots Alliance Inc |
| Authorized official | Jennifer Ponce — Manager · (847) 527-2489 |
| Other names | Walgreens #05195; Walgreens #05195 |
| NPI enumerated | July 29, 2006 |
| Last updated in NPPES | September 5, 2025 |
| Certification date | September 5, 2025 |
| Mailing address | 1901 E Voorhees St, Ms 790, Danville, IL 61834-4515 |
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