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	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	PH03346	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2993699	OTHER	NV	NCPDP

General Provider Information

NPI Number	:	1144613845
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	:	2427 LAS VEGAS BLVD S STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2530
Country	:	US
Telephone Number	:	702-545-9494
Fax Number	:	702-545-9495

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

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	10/05/2023

Similar Medicare Providers

1972975621 — MATTHEW FORSTER RPH
Practice Location Address:

2427 LAS VEGAS BLVD S STE 100
LAS VEGAS, NV
89104-2530

Practice Phone: 702-545-9494
Practice Fax:

1063617736 — VEGAS VALLEY TREATMENT CENTER
Practice Location Address:

1325 S COMMERCE ST
LAS VEGAS, NV
89102-2530

Practice Phone: 702-383-9890
Practice Fax:

1427248624 — STEVEN ZEITLIN
Practice Location Address:

1325 S COMMERCE ST
LAS VEGAS, NV
89102-2530

Practice Phone: 702-383-9890
Practice Fax: 702-383-0748

1447618244 — MARTINEZ ORTHODONTICS LLC
Practice Location Address:

5775 S RAINBOW BLVD , STE 103
LAS VEGAS, NV
89118-2530

Practice Phone: 702-979-9799
Practice Fax: 702-979-9823

1245730472 — LADARRIEN REGINALD LOVETT
Practice Location Address:

2530 E FLAMINGO RD # 257
LAS VEGAS, NV
89121-5232

Practice Phone: 702-937-7515
Practice Fax:

1134690068 — LEIDYS HERNANDEZ MACEDA
Practice Location Address:

6229 OLD TRAIL RD
LAS VEGAS, NV
89108-2530

Practice Phone: 702-986-1640
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.