Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1629692744

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Mangonia Park, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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Practice location Address checks out

901 45th St
Mangonia Park, FL 33407-2413
Phone: (561) 402-8557
Fax: (561) 402-8558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1629692744
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #21194; Walgreens #21194
NPI enumeratedJune 4, 2020
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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