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	PH0016667	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1085504	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1790790939
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	:	1930 KINGS HWY
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980-4214
Country	:	US
Telephone Number	:	941-764-8444
Fax Number	:

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	04/22/2022

Similar Medicare Providers

1093986770 — CHARLOTTE COUNTY HEALTH DEPARTMENT
Practice Location Address:

1994 KINGS HWY
PT CHARLOTTE, FL
33980-4214

Practice Phone: 941-613-0950
Practice Fax: 941-613-0959

1316235914 — CATHY ANN MOORE RPH
Practice Location Address:

2000 KINGS HWY
PORT CHARLOTTE, FL
33980-4214

Practice Phone: 941-629-1512
Practice Fax: 941-629-7091

1013286327 — MR. MOHAMMAD RAHIL LONE PHARMD
Practice Location Address:

1930 KINGS HWY
PORT CHARLOTTE, FL
33980-4214

Practice Phone: 941-764-8444
Practice Fax: 941-764-8445

1386913234 — SONI PIOUS
Practice Location Address:

1930 KINGS HWY
PORT CHARLOTTE, FL
33980-4214

Practice Phone: 941-764-8444
Practice Fax:

1740617851 — CALEB DOXSEE PHARM D.
Practice Location Address:

1930 KINGS HWY
PORT CHARLOTTE, FL
33980-4214

Practice Phone: 941-764-8444
Practice Fax:

1932690021 — DR. YANDRO LEAL MD
Practice Location Address:

1912 KINGS HWY STE 700
PORT CHARLOTTE, FL
33980-4214

Practice Phone: 941-255-0032
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.