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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
3333600000XPharmacyPH19008FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31096850OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1114934296
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 : 3099 N STATE ROAD 7
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1913
Country : US
Telephone Number : 954-485-9161
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 : 03/31/2022

Similar Medicare Providers

1033719190 — NATALIE K BERNARD
Practice Location Address:
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL
33313-1913
Practice Phone: 954-485-9161
Practice Fax:
1174528632 — DR. INGRID S WHITBOURNE-COOKE O.D.
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3001 N STATE ROAD 7
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Practice Fax:
1306857826 — WAL-MART STORES EAST LP
Practice Location Address:
3001 N STATE ROAD 7
LAUDERDALE LAKES, FL
33313-1913
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Practice Fax: 479-277-4331
1255445912 — DR. ROBERT SCOTT SHAREK O.D.
Practice Location Address:
3001 N STATE ROAD 7
LAUDERDALE LAKES, FL
33313-1913
Practice Phone: 754-779-7951
Practice Fax:
1861625287 — VALUECARE MEDICAL, LLC
Practice Location Address:
3001 N STATE ROAD 7
LAUDERDALE LAKES, FL
33313-1913
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Practice Fax: 954-484-7484
1205126745 — MS. TATIANA PASSE
Practice Location Address:
3001 N STATE ROAD 7
LAUDERDALE LAKES, FL
33313-1913
Practice Phone: 954-733-7473
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

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