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
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	13539	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457878050
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	:	217-709-2386
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	2005 NORTHWEST BLVD
Second Line	:
City	:	NEWTON
State	:	NC
Zip	:	28658-3721
Country	:	US
Telephone Number	:	828-464-9393
Fax Number	:	828-465-1908

Authorized Official
Title or Position	:	MANAGER
Name	:	ALYSSA SWEETEN
Credential	:
Telephone Number	:	217-709-2386

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	05/11/2018

Similar Medicare Providers

1528167731 — ECKERD CORPORATION
Practice Location Address:

2005 NORTHWEST BOULEVARD
NEWTON, NC
28658-3721

Practice Phone: 828-464-9393
Practice Fax:

1558669879 — MICHAEL ZWOLINSKI
Practice Location Address:

2005 NORTHWEST BLVD
NEWTON, NC
28658-3721

Practice Phone: 828-465-1908
Practice Fax:

1811296676 — MR. STEPHEN PAUL NORTHRUP RPH
Practice Location Address:

2005 NORTHWEST BLVD
NEWTON, NC
28658-3721

Practice Phone: 828-464-9393
Practice Fax:

1477824944 — YADRANCA RUJITA ZUREK PHARM D
Practice Location Address:

2005 NORTHWEST BLVD
NEWTON, NC
28658-3721

Practice Phone: 828-464-9393
Practice Fax: 828-465-1908

1801348172 — ASHLEY MAHARANA
Practice Location Address:

2005 NORTHWEST BLVD
NEWTON, NC
28658-3721

Practice Phone: 828-464-9393
Practice Fax:

1982681375 — DR. STEVEN JAMES MATTES D.C.
Practice Location Address:

119 1ST AVE W
NEWTON, IA
50208-3721

Practice Phone: 641-787-0311
Practice Fax: 641-792-6396

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.