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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
1333600000XPharmacy10272SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14225872OTHERSCNABP NCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487781217
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 : 61834-4509
Country : US
Telephone Number : 217-709-2351
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 415 BROCKMAN MCCLIMON RD
Second Line : STE B
City : GREER
State : SC
Zip : 29651-6608
Country : US
Telephone Number : 864-801-0411
Fax Number : 864-801-0499
Authorized Official
Title or Position : MANAGER
Name : KIRA TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 02/28/2007
Last Update Date : 03/07/2023

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Directions to “WALGREEN CO ” Practice Location

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