MEDICARE: WALGREEN CO.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy

General Provider Information

NPI Number	:	1457088825
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	:	217-709-2351
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 W 6200 SOUTH
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084
Country	:	US
Telephone Number	:	217-709-2351
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA L TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	08/17/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1518807551 — LONE PEAK PSYCHOLOGICAL EVALUATIONS, INC
Practice Location Address:

6787 S REDWOOD RD STE 2
WEST JORDAN, UT
84084-2404

Practice Phone: 801-203-4442
Practice Fax:

1437090438 — ROGER TINGEY
Practice Location Address:

7533 S CENTER VIEW CT STE R
WEST JORDAN, UT
84084-5526

Practice Phone: 801-803-2937
Practice Fax:

1104764935 — STACY NOELANI PETTERSSON CHMC AND MHC
Practice Location Address:

3696 W SAVANNAH CIR
WEST JORDAN, UT
84084-1710

Practice Phone: 801-336-7624
Practice Fax:

1063158251 — CLAUDIA L TEIXEIRA GOMES PA-S
Practice Location Address:

3828 W PRAIRIE DUNES DR APT 17D
WEST JORDAN, UT
84084-1874

Practice Phone: 801-783-0288
Practice Fax:

1700733458 — STARLIGHT SPROUTS ABA THERAPY LLC
Practice Location Address:

7533 S CENTER VIEW CT # 4990
WEST JORDAN, UT
84084-5526

Practice Phone: 313-540-7609
Practice Fax:

1326586124 — BAILEY K. CHIPLEY M.S., BCBA, LBA
Practice Location Address:

7733 S REDWOOD RD
WEST JORDAN, UT
84084-5518

Practice Phone: 406-860-4235
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.