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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
3333600000XPharmacy7497WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25114878OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831104736
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 : 847-527-2489
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 275 DAVISON DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-2034
Country : US
Telephone Number : 608-837-8566
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/29/2006
Last Update Date : 09/10/2024

Similar Medicare Providers

1538512769 — DR. JOLENE DUTCHER
Practice Location Address:
275 DAVISON DR
SUN PRAIRIE, WI
53590-2034
Practice Phone: 608-837-8566
Practice Fax:
1225319262 — MR. MICHAEL A ZUTTER JR.
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1063793701 — MS. CHERYL A WATERWORTH RPH
Practice Location Address:
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Practice Fax:
1952684037 — JOY J JUNG RPH
Practice Location Address:
275 DAVISON DR
SUN PRAIRIE, WI
53590-2034
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Practice Fax: 608-825-8259
1770866873 — SUSAN M KREUL-FRANK RPH
Practice Location Address:
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1164707865 — INGRID JANE SWANSON PHARMD
Practice Location Address:
275 DAVISON DR
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Practice Phone: 608-837-8566
Practice Fax: 608-825-8259

Directions to “WALGREEN CO ” Practice Location

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