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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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy3555TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14434166OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053328054
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST
Second Line : MAILSTOP #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 : 6770 MACON RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38134-7542
Country : US
Telephone Number : 901-371-0255
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : KIRA L TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 08/02/2006
Last Update Date : 04/28/2022

Similar Medicare Providers

1730492166 — WALGREENS
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
Practice Phone: 901-371-0255
Practice Fax: 901-371-9604
1316229214 — PRIYA PATEL
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
Practice Phone: 901-371-0255
Practice Fax:
1255618005 — DR. NATHANIEL WILSON PHARM D.
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
Practice Phone: 901-371-0255
Practice Fax: 901-371-9604
1982968327 — DR. MICHAEL L MOHLER PHARM.D.
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
Practice Phone: 901-371-0255
Practice Fax:
1891422812 — DANIEL ARMSTRONG
Practice Location Address:
6770 MACON RD APT 304
MEMPHIS, TN
38134-7542
Practice Phone: 815-343-9026
Practice Fax:
1740081348 — TRANGCHAU KIM NGUYEN PHARM.D
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
Practice Phone: 901-371-0255
Practice Fax: 901-371-9604

Directions to “WALGREEN CO ” Practice Location

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