Organization · Type 2 NPI

Walgreen Co

Pharmacy · Detroit, MI

NPI number 1063903458 Active

Practice location

4201 Saint Antoine St Ste 2M
Detroit, MI 48201-2153

Call (313) 966-8230 Map

Fax (313) 261-9822

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	5301009476 (MI)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1063903458

Walgreen Co's National Provider Identifier is 1063903458, issued on May 22, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Detroit, MI. The record was last updated on Jun 3, 2026.