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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
3333600000XPharmacy2180AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20318584OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1841205184
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 : 1995 W HIGHWAY 89A
Second Line :
City : SEDONA
State : AZ
Zip : 86336-5531
Country : US
Telephone Number : 928-282-3903
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 : 03/30/2022

Similar Medicare Providers

1801126974 — MR. JAY ROBERTS
Practice Location Address:
1995 W HWY 89A
SEDONA, AZ
86336-5531
Practice Phone: 928-282-3903
Practice Fax:
1508196528 — MR. DAN MAY
Practice Location Address:
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Practice Fax:
1043623176 — MRS. LOU ANN BRUCK R.PH
Practice Location Address:
1995 W HWY 89A
SEDONA, AZ
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Practice Fax:
1184027385 — GLENN CAIN RPH
Practice Location Address:
1995 W HIGHWAY 89A
SEDONA, AZ
86336-5531
Practice Phone: 928-282-3903
Practice Fax:
1083444103 — AMANDA LOWERY
Practice Location Address:
1995 W STATE ROUTE 89A
SEDONA, AZ
86336-5531
Practice Phone: 928-282-3903
Practice Fax:
1689524431 — STEVEN HULL-SHUTLER CPHT
Practice Location Address:
1995 W ST RTE 89A
SEDONA, AZ
86336-5531
Practice Phone: 917-797-9545
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

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