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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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy2234MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32600179OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1134135676
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 : 9285 HALLS FERRY RD
Second Line :
City : JENNINGS
State : MO
Zip : 63136-5144
Country : US
Telephone Number : 314-867-1360
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : KIRA TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 08/01/2006
Last Update Date : 11/09/2023

Similar Medicare Providers

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Practice Location Address:
9285 HALLS FERRY RD
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Practice Fax:
1568050326 — DR. JOHN-MICHAEL CHARLES PHARM.D.
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Practice Fax: 314-867-8027
1952020703 — DR. CHANDLER AUSTIN STEPHENS PHARMD.
Practice Location Address:
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1982311841 — AVOREE SWITZER PHARM.D.
Practice Location Address:
9285 HALLS FERRY RD
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63136-5144
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Practice Fax: 314-867-8027

Directions to “WALGREEN CO ” Practice Location

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