OrganizationActive
Walgreen
NPI 1083996896 · Point of Service · Pontiac, MI
Provider details
- NPI number
- 1083996896
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Neil Brown, Pharmacist(248) 745-8495
- License
- 5302017458 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
690 Matrin Luther King Blvd N
Pontiac, MI 48342-1626
Phone: (248) 745-8495
Fax: (248) 745-8367
Approximate (ZIP-level) locationGet directions
Mailing address
690 Matrin Luther Kings Blvd North
Pontiac, MI 48342-1626
Registry dates
- Enumerated
- 2011-09-16
- Last updated
- 2011-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.