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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	9001	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3402055	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558376632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MAILSTOP #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	:	3003 FAYETTEVILLE RD
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28358-2781
Country	:	US
Telephone Number	:	910-739-7072
Fax Number	:

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	11/07/2023

Similar Medicare Providers

1952404394 — NORTH CAROLINA CVS PHARMACY LLC
Practice Location Address:

3001 FAYETTEVILLE RD
LUMBERTON, NC
28358-2781

Practice Phone: 336-739-7511
Practice Fax:

1912230483 — DR. AMAR VYAS PHARMD
Practice Location Address:

3003 FAYETTEVILLE RD
LUMBERTON, NC
28358-2781

Practice Phone: 910-739-7072
Practice Fax:

1649572967 — DR. BERNARD F LOWRY III PHARM.D.
Practice Location Address:

3003 FAYETTEVILLE RD
LUMBERTON, NC
28358-2781

Practice Phone: 910-739-7072
Practice Fax: 910-739-7825

1699062703 — NINA MALHOTRA
Practice Location Address:

3001 FAYETTEVILLE RD
LUMBERTON, NC
28358-2781

Practice Phone: 910-739-7511
Practice Fax: 910-671-0491

1588947303 — DR. KRISTEN SCHNEIDER PHARMD
Practice Location Address:

3003 FAYETTEVILLE RD
LUMBERTON, NC
28358-2781

Practice Phone: 814-934-8195
Practice Fax:

1396088274 — DR. COLLINS U AIGBOGUN PHARMD
Practice Location Address:

3001 FAYETTEVILLE RD
LUMBERTON, NC
28358-2781

Practice Phone: 910-739-7511
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 © 2007-2025 (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.