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
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PH50001591OTHERMEBOARD OF PHARMACY

General Provider Information

NPI Number : 1578088068
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO.
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST
Second Line :
City : DANVILLE
State : IL
Zip : 61834-4515
Country : US
Telephone Number : 217-709-2351
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 151 E MAIN ST
Second Line :
City : DOVER FOXCROFT
State : ME
Zip : 04426-1304
Country : US
Telephone Number : 207-564-9011
Fax Number : 207-564-8670
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 08/07/2017
Last Update Date : 05/12/2026

Similar Medicare Providers

1427129808 — RITE AID OF MAINE INC
Practice Location Address:
151 EAST MAIN STREET
DOVER FOXCROFT, ME
04426-1304
Practice Phone: 207-564-9011
Practice Fax:
1558653956 — BARBARA ANN BROOKS
Practice Location Address:
151 E MAIN ST
DOVER FOXCROFT, ME
04426-1304
Practice Phone: 207-564-9011
Practice Fax:
1609284561 — ANDREW EXLEY
Practice Location Address:
151 E MAIN ST
DOVER FOXCROFT, ME
04426-1304
Practice Phone: 207-942-5521
Practice Fax:
1932500063 — MICHELLE WILCOX
Practice Location Address:
151 E MAIN ST
DOVER FOXCROFT, ME
04426-1304
Practice Phone: 207-564-9011
Practice Fax:
1538562541 — ASHLEY ALBERT PHARMD
Practice Location Address:
151 E MAIN ST
DOVER FOXCROFT, ME
04426-1304
Practice Phone: 207-564-9011
Practice Fax:
1952830705 — DR. KELSIE JANE ANDERSON PHARMD
Practice Location Address:
151 E MAIN ST
DOVER FOXCROFT, ME
04426-1304
Practice Phone: 207-564-9011
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.