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

Walgreen Co

Organization Customized Equipment (DME) · NPI 1861409765

Walgreen Co provides 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