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NPI Code Detail

MEDICARE: WALGREEN CO

MEDICARE: WALGREEN CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0003XCommunity/Retail Pharmacy
4333600000XPharmacy19318TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14503923OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023023082
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST
Second Line : MS 790
City : DANVILLE
State : IL
Zip : 61834-4509
Country : US
Telephone Number : 847-527-2489
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 3301 DENTON HWY
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number : 817-222-2948
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/29/2006
Last Update Date : 03/27/2025

Similar Medicare Providers

1427385541 — DEANNA BRIGNAC
Practice Location Address:
3301 DENTON HWY
HALTOM CITY, TX
76117-3200
Practice Phone: 817-222-9247
Practice Fax: 817-222-2948
1366779423 — DR. KEE JOO PAIK PHARM.D
Practice Location Address:
3301 DENTON HWY , WALGREENS.CO.
HALTOM CITY, TX
76117-3200
Practice Phone: 817-222-9247
Practice Fax: 817-222-2948
1932456415 — DR. DAVID ALLEN THEDFORD PHARMD RPH
Practice Location Address:
3301 DENTON HWY
HALTOM CITY, TX
76117-3200
Practice Phone: 817-222-9247
Practice Fax:
1912241464 — WALGREEN'S
Practice Location Address:
3301 DENTON HWY
HALTOM CITY, TX
76117-3200
Practice Phone: 817-222-9247
Practice Fax:
1922431964 — STEPHANIE DELA CRUZ PHARMD.
Practice Location Address:
3301 DENTON HWY
HALTOM CITY, TX
76117-3200
Practice Phone: 817-222-9247
Practice Fax:
1184028813 — DR. JORDAN DANIELLE ZAREK PHARM.D.
Practice Location Address:
3301 DENTON HWY
HALTOM CITY, TX
76117-3200
Practice Phone: 817-222-9247
Practice Fax: 847-697-6769

Directions to “WALGREEN CO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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