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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
3333600000XPharmacy

General Provider Information

NPI Number : 1255857348
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 : 2308 S RANGE AVE
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-5216
Country : US
Telephone Number : 225-664-5099
Fax Number : 225-665-9385
Authorized Official
Title or Position : ASS TREASURE
Name : ALAN NIELSEN
Credential :
Telephone Number : 847-315-3523
Provider Enumeration Date : 08/21/2017
Last Update Date : 08/21/2017

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Directions to “WALGREEN CO ” Practice Location

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