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	10360	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3416585	OTHER	NC	NCPDP

General Provider Information

NPI Number	:	1093948184
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	:	2700 S NC 127 HWY
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-9130
Country	:	US
Telephone Number	:	828-294-0058
Fax Number	:	828-294-0967

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

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	04/04/2022

Similar Medicare Providers

1770529323 — ROBERT HAMMILL LEE MD
Practice Location Address:

2874 NC HWY 127 SOUTH
HICKORY, NC
28602-9130

Practice Phone: 828-294-4100
Practice Fax: 828-294-4112

1972549301 — DAVID R. DURALIA M.D
Practice Location Address:

2874 NC HWY 127 S
HICKORY, NC
28602-9130

Practice Phone: 828-294-4100
Practice Fax: 800-951-8614

1033128822 — UNIFOUR FAMILY PRACTICE, PLLC
Practice Location Address:

2874 NC HWY 127 SOUTH
HICKORY, NC
28602-9130

Practice Phone: 828-294-4100
Practice Fax: 828-294-4112

1598878654 — MARGARET M SPEARS FNP
Practice Location Address:

2874 NC HWY 127 SOUTH
HICKORY, NC
28602-9130

Practice Phone: 828-294-4100
Practice Fax: 828-294-4112

1720182496 — NORTH CAROLINA CVS PHARMACY, L.L.C.
Practice Location Address:

2701 S NC 127 HWY
HICKORY, NC
28602-9130

Practice Phone: 828-294-1644
Practice Fax:

1043514540 — MR. GARY D CLARK R.PH.
Practice Location Address:

2701 S NC 127 HWY
HICKORY, NC
28602-9130

Practice Phone: 828-294-1644
Practice Fax:

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.