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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
4333600000XPharmacy19057TX

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
34506234OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225043292
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 : 8120 S COCKRELL HILL RD
Second Line :
City : DALLAS
State : TX
Zip : 75236-9668
Country : US
Telephone Number : 972-283-1473
Fax Number : 972-283-8916
Authorized Official
Title or Position : MANAGER
Name : KIRA L TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 07/29/2006
Last Update Date : 02/20/2023

Similar Medicare Providers

1992032445 — MR. OLAOLU K IBIWOYE B.PHARM
Practice Location Address:
8120 S COCKRELL HILL RD
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1952638710 — MR. BRENT STEVEN MANNS PHARM D
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1306173141 — MR. KUMI FRIMPONG RPH
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Practice Fax:
1467789263 — MR. MICHAEL EUGENE ARNOLD RPH
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DALLAS, TX
75236-9668
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1154650703 — HOA THI DINH
Practice Location Address:
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1356665707 — CYRILLA M KENNEDY PHARM D
Practice Location Address:
8120 S COCKRELL HILL RD
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Directions to “WALGREEN CO ” Practice Location

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