Organization · Type 2 NPI

Walgreen Co

Pharmacy · Gulfport, MS

NPI number 1477568632 Active

Practice location

15371 Dedeaux Rd
Gulfport, MS 39503-3855

Call (228) 539-9890 Map

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 333600000X0465101WG (MS)
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 1477568632

Walgreen Co's National Provider Identifier is 1477568632, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Gulfport, MS. The record was last updated on Oct 12, 2026.