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

Walgreens

Organization Pharmacist · NPI 1295016202

Walgreens is a Pharmacist in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

22318 Pontiac Trl
South Lyon, MI 48178-1657
Phone: (248) 486-5216
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 4 (MI)

Record details

NPI number1295016202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Wasson — Ceo · (248) 486-5216
NPI enumeratedSeptember 2, 2011
Last updated in NPPESJuly 21, 2022
Mailing address22318 Pontiac Trl, South Lyon, MI 48178-1657

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