Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1477847275

Walgreen Co provides Durable Medical Equipment & Medical Supplies in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
3

Practice location Address checks out

631 Professional Dr Ste 100
Lawrenceville, GA 30046
Phone: (770) 339-2029
Fax: (770) 339-7385
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PHRE009774 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1477847275
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens Specialty Pharmacy #15131
NPI enumeratedJune 9, 2011
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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