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
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	CF59238	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4923327	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1558376517
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	:	2830 S GRAND BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2528
Country	:	US
Telephone Number	:	509-455-3736
Fax Number	:	509-455-6918

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	10/30/2023

Similar Medicare Providers

1770592909 — DR. WALTER REX STAHLY M.D.
Practice Location Address:

2830 S GRAND BLVD
SPOKANE, WA
99203-2528

Practice Phone: 509-747-0770
Practice Fax: 509-624-0620

1700963451 — KAREN M HALLINAN DDS
Practice Location Address:

2806 S GRAND BLVD
SPOKANE, WA
99203-2528

Practice Phone: 509-624-4311
Practice Fax: 509-624-1117

1194034587 — DR. STEPHANIE RENEE PLEIMAN N.D.
Practice Location Address:

2814 S GRAND BLVD
SPOKANE, WA
99203-2528

Practice Phone: 509-456-2570
Practice Fax:

1972886224 — ASHLEY BRUCK
Practice Location Address:

2830 S GRAND BLVD
SPOKANE, WA
99203-2528

Practice Phone: 509-455-3736
Practice Fax: 509-455-6918

1184907966 — SANDY M EMTMAN RPH
Practice Location Address:

2830 S GRAND BLVD
SPOKANE, WA
99203-2528

Practice Phone: 509-455-3736
Practice Fax:

1609295294 — TONYA GESCHKE-CARLSON
Practice Location Address:

2814 S GRAND BLVD
SPOKANE, WA
99203-2528

Practice Phone: 509-279-4864
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.