DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
3333600000XPharmacy201003992VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34838186OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1366457319
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 : 103 COMMONWEALTH BLVD W
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-1806
Country : US
Telephone Number : 276-632-6457
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 : 01/29/2026

Similar Medicare Providers

1740572759 — DR. HOLLY ANN GAETA PHARMD
Practice Location Address:
103 COMMONWEALTH BLVD W
MARTINSVILLE, VA
24112-1806
Practice Phone: 276-632-6457
Practice Fax:
1326329616 — DIPTIBEN PATEL RPH
Practice Location Address:
103 COMMONWEALTH BLVD W
MARTINSVILLE, VA
24112-1806
Practice Phone: 276-632-6457
Practice Fax: 276-632-6488
1275074353 — MEDEXPRESS URGENT CARE, PC - VIRGINIA
Practice Location Address:
105 COMMONWEALTH BLVD W
MARTINSVILLE, VA
24112-1806
Practice Phone: 276-666-5000
Practice Fax: 276-666-5912
1407454754 — DR. CASEY ANDREW DANIELS PHARMD
Practice Location Address:
103 COMMONWEALTH BLVD W
MARTINSVILLE, VA
24112-1806
Practice Phone: 276-632-6457
Practice Fax:
1639806565 — ALEXIS RAE SCHOCH PHARM D
Practice Location Address:
103 COMMONWEALTH BLVD W
MARTINSVILLE, VA
24112-1806
Practice Phone: 276-632-6457
Practice Fax:
1821705062 — NIJA MONIQUE WHEELER
Practice Location Address:
103 COMMONWEALTH BLVD W
MARTINSVILLE, VA
24112-1806
Practice Phone: 347-355-1414
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.