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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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy60004079AIN

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
31528326OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1306851431
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 : 925 S GREEN RIVER RD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-4107
Country : US
Telephone Number : 812-474-0055
Fax Number : 812-474-0982
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 : 06/12/2026

Similar Medicare Providers

1558643254 — MRS. CYNTHIA ANN FARMER RPH
Practice Location Address:
925 S GREEN RIVER RD
EVANSVILLE, IN
47715-4107
Practice Phone: 812-474-0055
Practice Fax: 812-474-0982
1588947832 — MS. ELLEN LYNN HENDERSHOT R.PH.
Practice Location Address:
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EVANSVILLE, IN
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Practice Phone: 812-474-0055
Practice Fax: 812-474-0055
1174806244 — DR. BRIAN MCCLELLAN
Practice Location Address:
925 S GREEN RIVER RD
EVANSVILLE, IN
47715-4107
Practice Phone: 812-474-0055
Practice Fax: 812-474-0982
1285918037 — MR. JOHN D SCHNUR RPH
Practice Location Address:
925 S GREEN RIVER RD
EVANSVILLE, IN
47715-4107
Practice Phone: 812-474-0055
Practice Fax: 812-474-0982
1982987780 — MATTHEW D HUSSMANN
Practice Location Address:
925 S GREEN RIVER RD
EVANSVILLE, IN
47715-4107
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Practice Fax:
1609150424 — DR. JULIANNE MARIE SCHNUR
Practice Location Address:
925 S GREEN RIVER RD
EVANSVILLE, IN
47715-4107
Practice Phone: 812-474-0055
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

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