MEDICARE: WALGREEN CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5649693	OTHER	CA	NCPDP

General Provider Information

NPI Number	:	1083045850
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	:	217-709-2386
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	845 MARKET ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-1923
Country	:	US
Telephone Number	:	415-430-0003
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ALYSSA SWEETEN
Credential	:
Telephone Number	:	217-709-2386

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	10/12/2018

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

1447270145 — BRENT SOMMER CRNA
Practice Location Address:

1348 NOE ST
SAN FRANCISCO, CA
94131-1923

Practice Phone: 415-642-1170
Practice Fax: 415-642-1171

1487676029 — DR. ANGELA LEUNG DDS
Practice Location Address:

595 BUCKINGHAM WAY STE 432
SAN FRANCISCO, CA
94132-1923

Practice Phone: 415-681-2697
Practice Fax: 415-681-2699

1851759757 — TOTAL LIFE WELLNESS
Practice Location Address:

1533 LINCOLN WAY APT 2
SAN FRANCISCO, CA
94122-1923

Practice Phone: 301-752-1425
Practice Fax:

1265426373 — PFT SERVICES, INC.
Practice Location Address:

415 CAMDEN ST
SAN ANTONIO, TX
78215-1923

Practice Phone: 210-223-9019
Practice Fax: 210-223-5272

1093709115 — TRAWICK, INC.
Practice Location Address:

415 CAMDEN ST
SAN ANTONIO, TX
78215-1923

Practice Phone: 210-223-9019
Practice Fax: 210-223-5272

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 © 2007-2025 (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.