Walgreen Co
Pharmacy in Southaven, MS. Organization (NPI-2).
NPI number1245246719
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1245246719
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 1, 2006
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 0232001WS | MS | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #05396 (Doing Business As)
Practice location
1011 Goodman Rd ESouthaven, MS 38671-9505
Phone 662-349-6787
Mailing address
1901 E Voorhees StMail Stop 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira L Taylor
Manager
2177092351
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All 7 Pharmacy providers in Southaven · All 1,578 providers in Southaven
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