DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
3333600000XPharmacy054.019167IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11481035OTHERNCPDP

General Provider Information

NPI Number : 1366642126
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 : 217-709-2386
Provider Business Practice Location Address
First Line : 1190 COLLINSVILLE CROSSING BLVD
Second Line :
City : COLLINSVILLE
State : IL
Zip : 62234-1880
Country : US
Telephone Number : 618-343-0297
Fax Number : 618-343-1251
Authorized Official
Title or Position : MANAGER
Name : KIRA L TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 07/20/2007
Last Update Date : 11/03/2023

Similar Medicare Providers

1467082560 — SHAYNE N LEWIS MOT
Practice Location Address:
1140 COLLINSVILLE CROSSING BLVD
COLLINSVILLE, IL
62234-1880
Practice Phone: 618-578-5901
Practice Fax:
1073792396 — DAMON MEIER MPT
Practice Location Address:
1140 COLLINSVILLE CROSSING BLVD
COLLINSVILLE, IL
62234-1880
Practice Phone: 618-578-5900
Practice Fax: 618-578-5901
1538449178 — REBECCA A VAREL RPH
Practice Location Address:
1190 COLLINSVILLE CROSSING BLVD
COLLINSVILLE, IL
62234-1880
Practice Phone: 618-343-0297
Practice Fax: 618-343-1251
1841572583 — DR. BRIANNA C BARTON PHARMD
Practice Location Address:
1190 COLLINSVILLE CROSSING BLVD
COLLINSVILLE, IL
62234-1880
Practice Phone: 618-343-0297
Practice Fax:
1225311731 — MR. CURTIS KNOLHOFF
Practice Location Address:
1190 COLLINSVILLE CROSSING BLVD
COLLINSVILLE, IL
62234-1880
Practice Phone: 618-343-0297
Practice Fax:
1013290535 — DR. RACHEL GOTSHALL
Practice Location Address:
1190 COLLINSVILLE CROSSING BLVD
COLLINSVILLE, IL
62234-1880
Practice Phone: 618-343-0297
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.