Organization · Type 2 NPI

Walgreen Co

Pharmacy · Ponchatoula, LA

NPI number 1083701213 Active

Practice location

1100 W Pine St
Ponchatoula, LA 70454-3700

Fax (985) 386-5988

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X5705 (LA)
Community/Retail Pharmacy 3336C0003XNone 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 1083701213

Walgreen Co's National Provider Identifier is 1083701213, issued on Oct 9, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Ponchatoula, LA. The record was last updated on Jan 30, 2026.