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

Walgreen Co

Organization Customized Equipment (DME) · NPI 1861409765

Walgreen Co is a Customized Equipment (DME) in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

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

Practice location Address checks out

1210 Sugar Creek Sq
Fenton, MO 63026-4401
Phone: (636) 326-5113
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 2006022586 (MO)
Customized Equipment (DME) Taxonomy 332BC3200X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1861409765
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #07423; Walgreens #07423
NPI enumeratedAugust 2, 2006
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address1901 E Voorhees St # Ms 790, Danville, IL 61834-4515