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	PH22999	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1027689	OTHER	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598956435
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	:	12041 PALM BEACH BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-4807
Country	:	US
Telephone Number	:	239-693-0924
Fax Number	:	239-693-5490

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

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	10/31/2023

Similar Medicare Providers

1790617371 — YASHKUMAR PATEL PHARMD
Practice Location Address:

12041 PALM BEACH BLVD
FORT MYERS, FL
33905-4807

Practice Phone: 239-693-0924
Practice Fax:

1649549932 — DR. IKECHUKWU V EZENWA PHARM.D., PH.D.
Practice Location Address:

12041 PALM BEACH BLVD
FORT MYERS, FL
33905-4807

Practice Phone: 239-693-0924
Practice Fax:

1467949883 — EMILY ICKES
Practice Location Address:

12041 PALM BEACH BLVD
FORT MYERS, FL
33905-4807

Practice Phone: 239-693-0924
Practice Fax:

1407404320 — COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice Location Address:

12021 PALM BEACH BLVD
FORT MYERS, FL
33905-4807

Practice Phone: 239-201-4559
Practice Fax: 239-887-4120

1861221921 — AKASH PATEL DMD
Practice Location Address:

12021 PALM BEACH BLVD
FORT MYERS, FL
33905-4807

Practice Phone: 239-201-4559
Practice Fax:

1144534793 — ZEEDUB LLC
Practice Location Address:

4807 ILLINOIS RD
FORT WAYNE, IN
46804-1165

Practice Phone: 260-918-0933
Practice Fax: 260-918-0931

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.