DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
3333600000XPharmacyPH00004514NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23206681OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1184639080
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 : 61834-4515
Country : US
Telephone Number : 847-527-2489
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 3400 COORS BLVD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1448
Country : US
Telephone Number : 505-836-4111
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/29/2006
Last Update Date : 03/27/2026

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:
4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105
Practice Phone: 505-998-1840
Practice Fax: 505-998-1841
1386977676 — BETH ANN CHAVEZ RPH
Practice Location Address:
3400 COORS BLVD NW
ALBUQUERQUE, NM
87120-1448
Practice Phone: 505-836-4111
Practice Fax: 505-836-9629
1447573803 — RICHARD TRUJILLO RPH
Practice Location Address:
3400 COORS BLVD NW
ALBUQUERQUE, NM
87120-1448
Practice Phone: 505-836-4111
Practice Fax:
1922314459 — SINA Q ZEYAEE RPH
Practice Location Address:
3400 COORS BLVD NW
ALBUQUERQUE, NM
87120-1448
Practice Phone: 505-836-4111
Practice Fax:
1225460637 — KARLYN JENSEN PHARMD
Practice Location Address:
3400 COORS BLVD NW
ALBUQUERQUE, NM
87120-1448
Practice Phone: 505-321-8925
Practice Fax:
1841628252 — VIRGINIA HATHORN PHARM D
Practice Location Address:
3400 COORS BLVD NW
ALBUQUERQUE, NM
87120-1448
Practice Phone: 505-836-4111
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 © 2007-2026 (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.