MEDICARE: WALGREEN CO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BC3200X	Customized Equipment (DME)
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	332BX2000X	Oxygen Equipment & Supplies (DME)
6	3336C0002X	Clinic Pharmacy
7	3336C0003X	Community/Retail Pharmacy
8	3336H0001X	Home Infusion Therapy Pharmacy
9	3336M0002X	Mail Order Pharmacy
10	3336S0011X	Specialty Pharmacy
11	333600000X	Pharmacy

General Provider Information

NPI Number	:	1194870824
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	:	217-709-2386
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	108 WILMOT RD
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5145
Country	:	US
Telephone Number	:	847-914-3154
Fax Number	:	217-709-2344

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. VIRGINIA GARZA
Credential	:
Telephone Number	:	217-709-2364

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/24/2024

Similar Medicare Providers

1427747351 — WALGREENS HEALTH MEDICAL GROUP P.A.
Practice Location Address:

108 WILMOT RD
DEERFIELD, IL
60015-5145

Practice Phone: 312-399-6989
Practice Fax:

1982395125 — WALGREENS HEALTH MEDICAL GROUP CALIFORNIA P.C.
Practice Location Address:

108 WILMOT RD
DEERFIELD, IL
60015-5145

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1437118361 — MITUL DESAI
Practice Location Address:

108 WILMOT RD
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60015-5145

Practice Phone: 847-580-0002
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1891958112 — GEORGE SPENCER PATTON II MD
Practice Location Address:

108 WILMOT RD , MS 1820
DEERFIELD, IL
60015-5145

Practice Phone: 847-580-0002
Practice Fax: 847-374-0207

1477836625 — DR. JUDY MEEKYUNG FAKHOURI PHARMD
Practice Location Address:

108 WILMOT RD # MS 1822
DEERFIELD, IL
60015-5145

Practice Phone: 847-580-0000
Practice Fax: 847-315-3905

1033494976 — PREMISE HEALTH OF ILLINOIS MEDICAL, PC
Practice Location Address:

108 WILMOT RD
DEERFIELD, IL
60015-5145

Practice Phone: 847-580-0002
Practice Fax: 847-374-0207

Directions to “WALGREEN CO ” Practice Location

Language	Start Address	Practice Location

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