MEDICARE: WALGREEN CO

Medicare Provider Information

Scope of Practice

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

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

General Provider Information

NPI Number	:	1184140568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST # MS 790
Second Line	:
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	:	6402 GOLDEN RING RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-2010
Country	:	US
Telephone Number	:	410-866-2500
Fax Number	:	410-866-6486

Authorized Official
Title or Position	:	ASSISTANT TREASURER
Name	:	MR. ALAN NIELSEN
Credential	:
Telephone Number	:	847-315-3523

Provider Enumeration Date	:	08/17/2017
Last Update Date	:	08/17/2017

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1154431823 — RITE AID OF MARYLAND INC
Practice Location Address:

6402 GOLDEN RING ROAD
BALTIMORE, MD
21237-2010

Practice Phone: 410-866-2500
Practice Fax:

1295028538 — HUGH ANTHONY SMITH
Practice Location Address:

6402 GOLDEN RING RD
BALTIMORE, MD
21237-2010

Practice Phone: 410-866-2500
Practice Fax:

1790096527 — LEEZA M WAGER PHARMD
Practice Location Address:

6402 GOLDEN RING RD
ROSEDALE, MD
21237-2010

Practice Phone: 410-866-2500
Practice Fax: 410-866-6486

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 © 2007-2026 (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.