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	333600000X	Pharmacy	738	CO
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0620787	OTHER	CO	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720255888
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	:	24250 E. SMOKY HILL RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-1381
Country	:	US
Telephone Number	:	303-524-3778
Fax Number	:	303-524-3784

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

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	10/27/2023

Similar Medicare Providers

1184624579 — JERI ANN SCHNEEBECK O.D.
Practice Location Address:

24200 E SMOKY HILL RD
AURORA, CO
80016-1381

Practice Phone: 720-870-2828
Practice Fax: 720-870-2117

1629078019 — JENNIFER SLEBOS REDMOND O.D.
Practice Location Address:

24200 E SMOKY HILL RD
AURORA, CO
80016-1381

Practice Phone: 720-870-2828
Practice Fax: 720-870-2117

1407070352 — JERI A SCHNEEBECK, OD, PC
Practice Location Address:

24200 E SMOKY HILL RD
AURORA, CO
80016-1381

Practice Phone: 720-870-2828
Practice Fax: 720-870-2117

1558517979 — DR. NICHOLAS RYAN DOYLE O.D.
Practice Location Address:

24200 E SMOKY HILL RD
AURORA, CO
80016-1381

Practice Phone: 720-870-2828
Practice Fax: 720-870-2117

1619250370 — ALMA MCKINLEY RPH
Practice Location Address:

24250 E SMOKY HILL RD
AURORA, CO
80016-1381

Practice Phone: 303-524-3778
Practice Fax:

1871876599 — MS. KIMBERLEE LYNEE GRAPER RPH
Practice Location Address:

24250 E SMOKY HILL RD
AURORA, CO
80016-1381

Practice Phone: 303-524-3778
Practice Fax: 303-524-3784

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.