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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
3333600000XPharmacy1-4024OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13720504OTHEROTHER 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

General Provider Information

NPI Number : 1346255312
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST # 790
Second Line :
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 : 7101 W HEFNER RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-4503
Country : US
Telephone Number : 405-773-0711
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 : 06/16/2025

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
1063794774 — DR. ERIN E HOLMAN PHARM D
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1053694307 — ROBERT J HOLT
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Practice Fax: 405-773-1204
1154606051 — CAROLYN JEAN RILEY
Practice Location Address:
7101 W HEFNER RD
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73162-4503
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Practice Fax: 405-773-1204
1316303068 — DR. BRITTANY LYNN KLEPAC PHARMD
Practice Location Address:
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73162-4503
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1376192989 — JAMES NICHOLAS MCREYNOLDS PHARMD
Practice Location Address:
7101 W HEFNER RD
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Practice Phone: 405-773-0711
Practice Fax: 405-773-1204

Directions to “WALGREEN CO ” Practice Location

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