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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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy2-13099KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11716452OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326053547
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 : 545 E SANTA FE ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-3462
Country : US
Telephone Number : 913-393-2757
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 : 01/24/2026

Similar Medicare Providers

1295706943 — HARRIET PEARSON MALLICOAT ARNP CNM
Practice Location Address:
545 E SANTA FE ST
OLATHE, KS
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Practice Fax:
1215210653 — DR. KRISTINE MARIE MERRILL PHARM D
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1174806467 — STEPHANIE ANN MATILE
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1194094359 — MR. JOSEPH SCOTT RPH
Practice Location Address:
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OLATHE, KS
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Practice Fax:
1407243397 — KATHRYN TAYLOR RPH, PHARM.D.
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1033078654 — MYHEALTH AT HOME, LLC
Practice Location Address:
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Directions to “WALGREEN CO ” Practice Location

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