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
3333600000XPharmacy0727201.2MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12586759OTHERNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689702029
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 : 1005 W BEACON ST
Second Line :
City : PHILADELPHIA
State : MS
Zip : 39350-3203
Country : US
Telephone Number : 601-389-1119
Fax Number : 601-389-9902
Authorized Official
Title or Position : MANAGER
Name : KIRA TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 02/28/2007
Last Update Date : 11/09/2023

Similar Medicare Providers

1063782480 — MARLEY BURNS
Practice Location Address:
1005 W BEACON ST
PHILADELPHIA, MS
39350-3203
Practice Phone: 601-389-1119
Practice Fax: 601-389-9902
1881036499 — AUTUMN GURRY PHARMD
Practice Location Address:
1005 W BEACON ST
PHILADELPHIA, MS
39350-3203
Practice Phone: 601-389-1119
Practice Fax:
1326458837 — MARCY TINGLE RPH
Practice Location Address:
1005 W BEACON ST
PHILADELPHIA, MS
39350-3203
Practice Phone: 601-389-1119
Practice Fax: 601-389-9902
1801279153 — ANTHONY MCCARTY JR. PHARM.D
Practice Location Address:
1005 W BEACON ST
PHILADELPHIA, MS
39350-3203
Practice Phone: 601-389-1119
Practice Fax:
1417333493 — JOHN J HUNTER PHARMD
Practice Location Address:
1005 W BEACON ST
PHILADELPHIA, MS
39350-3203
Practice Phone: 601-389-1119
Practice Fax:
1457963613 — JASMINE JENNINGS
Practice Location Address:
1005 W BEACON ST
PHILADELPHIA, MS
39350-3203
Practice Phone: 601-389-1119
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.