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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	PH1308	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2966313	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033126917
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	:	217-709-2351
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	3400 BOULDER HWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1522
Country	:	US
Telephone Number	:	702-432-6940
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA L TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	04/21/2022

Similar Medicare Providers

1356624902 — DR. BRENTON CHUN PHARMD
Practice Location Address:

3400 BOULDER HWY
LAS VEGAS, NV
89121-1522

Practice Phone: 702-432-9670
Practice Fax:

1609151307 — MELANIE BALDONADO PHARMD
Practice Location Address:

3400 BOULDER HWY
LAS VEGAS, NV
89121-1522

Practice Phone: 702-432-6940
Practice Fax: 702-432-7225

1962176131 — DAISY WEIJUAN ZHANG PHARMD
Practice Location Address:

3400 BOULDER HWY
LAS VEGAS, NV
89121-1522

Practice Phone: 702-432-6940
Practice Fax: 702-432-7225

1487929006 — DR. EDWARD JUDSON MILLER
Practice Location Address:

1096 PINEHURST DR
LAS VEGAS, NV
89109-1522

Practice Phone: 702-737-0763
Practice Fax:

1730856782 — MRS. SYDNEY JANE HILL LMSW, CSW-I
Practice Location Address:

7077 SILENT BAY ST
NORTH LAS VEGAS, NV
89086-1522

Practice Phone: 702-551-4654
Practice Fax:

1255168514 — HORTENCIA FARIAS
Practice Location Address:

1028 JESSICA AVE APT 1
LAS VEGAS, NV
89104-1522

Practice Phone: 702-472-5904
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.