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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
3333600000XPharmacyPH23021FL

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
31027057OTHERNCPDP

General Provider Information

NPI Number : 1154528495
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 : 6370 BAYSHORE RD
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33917-3137
Country : US
Telephone Number : 239-656-1424
Fax Number : 239-543-5704
Authorized Official
Title or Position : MANAGER
Name : KIRA L TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 06/29/2007
Last Update Date : 10/31/2023

Similar Medicare Providers

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Practice Location Address:
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1689964447 — MR. DAVID MICHAEL NARDOLILLO JR. PHARM.D.
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1427327600 — MRS. CYNTHIA MARIE KOVACH PHARMD
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1972903847 — RISHABH LALL PHARM. D.
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1578176814 — MRS. TATIANA B FERNANDES RPH
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1932155389 — MISSOURI PHLEBOLOGY INC
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Directions to “WALGREEN CO ” Practice Location

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