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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
1291U00000XClinical Medical Laboratory
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0003XCommunity/Retail Pharmacy
4333600000XPharmacy6743WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15117925OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578570479
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 : 3109 S KINNICKINNIC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-2935
Country : US
Telephone Number : 414-482-3515
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : VIRGINIA GARZA
Credential :
Telephone Number : 217-709-2364
Provider Enumeration Date : 08/02/2006
Last Update Date : 06/14/2024

Similar Medicare Providers

1346526803 — JEFFREY TURNER R.PH.
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3109 S KINNICKINNIC AVE
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Practice Fax: 414-482-9680
1174890750 — MR. JONATHAN PALMA RPH
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1326315995 — JAMES S OSIELSKI RPH
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1326318452 — MR. NORMAN MICHAEL ROETS PHARMACIST
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1043990385 — STEPHANIE CHRISTINA WATSON PHARMD
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1689474660 — DR. OLIVIA VLASIN PHARMD
Practice Location Address:
3109 S KINNICKINNIC AVE
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Practice Phone: 414-482-3515
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

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