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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
3333600000XPharmacyPH01828NV

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
32906975OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4100504397OTHERNVDME

General Provider Information

NPI Number : 1366457335
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 : 4875 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7944
Country : US
Telephone Number : 702-873-5165
Fax Number :
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 : 05/23/2022

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1881303527 — DR. AUBRION ELIZABETH FRANKE PHARMD
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1215796289 — JINAN THOMAD
Practice Location Address:
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LAS VEGAS, NV
89147-7944
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1891654216 — KENT L. DO
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Practice Fax:
1366705725 — ELI MARTINEZ
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3428 STEPPE ST
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89032-7944
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Practice Fax: 702-428-7338

Directions to “WALGREEN CO ” Practice Location

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