Organization · Type 2 NPI

Walgreen Co

Pharmacy · Missouri City, TX

NPI number 1124035134 Active

Practice location

4790 Lexington Blvd
Missouri City, TX 77459-2800

Call (281) 499-5257 Map

Fax (281) 499-3772

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory	291U00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	16433 (TX)
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…

3 other providers at this address

Other pharmacy providers in Missouri City

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NPI record

NPI: 1124035134
Entity type: Organization (Type 2)
Issued: Aug 2, 2006
Last updated: Mar 27, 2026
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #03419 · doing business as
Walgreens #03419 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124035134

Walgreen Co's National Provider Identifier is 1124035134, issued on Aug 2, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Missouri City, TX. The record was last updated on Mar 27, 2026.