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	5301008121	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2366892	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184639486
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	:	2270 UNION LAKE RD
Second Line	:
City	:	COMMERCE TWP
State	:	MI
Zip	:	48382-2254
Country	:	US
Telephone Number	:	248-363-0436
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	:	10/22/2025

Similar Medicare Providers

1912033481 — SPECS EYEWEAR STUDIO LLC
Practice Location Address:

2228 UNION LAKE RD
COMMERCE TWP, MI
48382-2254

Practice Phone: 248-366-8600
Practice Fax:

1689958373 — CARRIE CZECH RPH
Practice Location Address:

2270 UNION LAKE RD
COMMERCE TOWNSHIP, MI
48382-2254

Practice Phone: 248-363-0436
Practice Fax: 248-363-0667

1689959827 — MR. WILLIAM ROBERT PENCE RPH
Practice Location Address:

2270 UNION LAKE RD
COMMERCE TOWNSHIP, MI
48382-2254

Practice Phone: 248-363-0436
Practice Fax: 248-363-0667

1538865332 — CLARITY SPECS, PLLC
Practice Location Address:

2228 UNION LAKE RD
COMMERCE TOWNSHIP, MI
48382-2254

Practice Phone: 248-366-8600
Practice Fax:

1326309816 — ERIC FRANK SKLEDER LPC
Practice Location Address:

230 BENTBROOK CIR
CRANBERRY TWP, PA
16066-2254

Practice Phone: 412-221-7913
Practice Fax: 724-432-2299

1437751542 — JOSLYNN MONROIG
Practice Location Address:

20452 KINGSTON DR
CLINTON TWP, MI
48036-2254

Practice Phone: 586-354-5057
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.