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	RX1000419	DC

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	0904626	OTHER		NCPDP

General Provider Information

NPI Number	:	1710110176
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	:	217-709-2386
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	3524 CONNECTICUT AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2401
Country	:	US
Telephone Number	:	202-686-6927
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. ALAN T NIELSEN
Credential	:
Telephone Number	:	847-315-3523

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	01/01/2016

Similar Medicare Providers

1285469239 — ANGELA NICOLE DAVINI DPT, PT
Practice Location Address:

3508 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-897-3890
Practice Fax:

1376780197 — DR. LAURA A. W. MUHAMMAD D.D.S.
Practice Location Address:

2401 CALVERT ST NW APT 106
WASHINGTON, DC
20008-2655

Practice Phone: 202-462-7676
Practice Fax:

1689958233 — DR. MARTHA CARLE ANDERSON PHARMD
Practice Location Address:

3524 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-686-6927
Practice Fax: 202-686-3870

1124303201 — GREGORINA ALTAGRACIA CAMPUSANO
Practice Location Address:

3524 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-686-6927
Practice Fax: 202-686-3870

1245732924 — PROFESSIONAL SPORTSCARE & REHAB, LLC
Practice Location Address:

3508 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-897-3890
Practice Fax:

1679069876 — TIMOTHY ECKERT
Practice Location Address:

3508 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 389-020-2897
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.