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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy820000008CO
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10609959OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376558619
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 : 205 E EISENHOWER BLVD
Second Line :
City : LOVELAND
State : CO
Zip : 80537-3909
Country : US
Telephone Number : 970-669-4444
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 : 01/30/2026

Similar Medicare Providers

1922381177 — PAMELA BRIDGE
Practice Location Address:
205 E EISENHOWER BLVD
LOVELAND, CO
80537-3909
Practice Phone: 970-669-4444
Practice Fax: 970-669-7851
1922382720 — MR. VINCE R SKOREY RPH
Practice Location Address:
205 E EISENHOWER BLVD
LOVELAND, CO
80537-3909
Practice Phone: 970-669-4444
Practice Fax:
1235413808 — CHRIS MROZ RPH
Practice Location Address:
205 E EISENHOWER BLVD
LOVELAND, CO
80537-3909
Practice Phone: 970-669-4444
Practice Fax:
1720357932 — MR. HARRY BRUCE JONES RPH
Practice Location Address:
205 E EISENHOWER BLVD
LOVELAND, CO
80537-3909
Practice Phone: 970-669-4444
Practice Fax: 970-669-7851
1538605886 — ALEX GRAHAM MORENO RPH
Practice Location Address:
205 E EISENHOWER BLVD
LOVELAND, CO
80537-3909
Practice Phone: 970-669-4444
Practice Fax:
1972276996 — DR. TAYLOR ANN WILDE PHARMD
Practice Location Address:
205 E EISENHOWER BLVD
LOVELAND, CO
80537-3909
Practice Phone: 970-669-4444
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.