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	F-2645	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4026414	OTHER		NCPDP

General Provider Information

NPI Number	:	1073786208
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	:	EL SENORIAL SHOPPING CENTER AVE WINSTON CHURCHILL
Second Line	:	ESQ PARANA
City	:	SAN JUAN
State	:	PR
Zip	:	00925-0000
Country	:	US
Telephone Number	:	787-751-7219
Fax Number	:

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

Provider Enumeration Date	:	04/09/2008
Last Update Date	:	04/05/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1396711198 — SAN JUAN MEDICAL ASSOC PSC
Practice Location Address:

RVDO DOMINGO MARRERO NAVARRO STREET , NUM 4
SAN JUAN, PR
00925-0000

Practice Phone: 787-766-1081
Practice Fax: 787-282-0869

1881605459 — DR. ANA D. MARTINEZ CINTRON PH.D.
Practice Location Address:

217 A IITURREGUI PLAZA , SUITE 217 A
SAN JUAN, PR
00925-0000

Practice Phone: 787-768-0771
Practice Fax: 787-768-8094

1609820414 — ERNESTO GARCIA SANTIAGO M.D.
Practice Location Address:

AVENIDA LUIS MUNOZ MARIN , HIMA PLAZA 1 SUITE 312
CAGUAS, PR
00925-0000

Practice Phone: 787-961-4668
Practice Fax: 787-961-4674

1689677189 — DR. SYLVIA D CUBANO PEREZ M.D.
Practice Location Address:

1056 M. RIVERA AVE SUITE 511
SAN JUAN, PR
00927-0000

Practice Phone: 787-764-9443
Practice Fax: 787-764-9443

1841294360 — DR. JOSEFINA HERNANDEZ-RAMOS PSY.D.
Practice Location Address:

252 SAN JORGE MEDICAL BLDG. , SUITE 407
SAN JUAN, PR
00911-0000

Practice Phone: 787-724-1415
Practice Fax: 787-982-2014

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.