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Walgreen Co

Pharmacy in Farmington Hills, MI. Organization (NPI-2).

NPI number1285649319
StatusActive
Last updated in NPPESJun 3, 2026

Details

NPI
1285649319
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Jul 29, 2006
Certification date
Jun 3, 2026
Last updated
Jun 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy53010076168MIYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Walgreens #5290 (Doing Business As)

Practice location

24140 Orchard Lake Rd
Farmington Hills, MI 48336-2557

Phone 248-888-9591

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4515

Phone 847-527-2489 · Fax 217-709-2344

Authorized official

Jennifer Ponce
Manager
8475272489

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