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
3333600000XPharmacy18212TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14501412OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588679534
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 : 4520 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2635
Country : US
Telephone Number : 817-514-8063
Fax Number : 817-514-9570
Authorized Official
Title or Position : MANAGER
Name : KIRA L TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 07/29/2006
Last Update Date : 03/31/2022

Similar Medicare Providers

1497083299 — MR. ROBERT EDWARD LOE RPH
Practice Location Address:
4520 WESTERN CENTER BLVD
HALTOM CITY, TX
76137-2635
Practice Phone: 817-514-8063
Practice Fax:
1154632834 — DR. LLOYD MARSHALL DELANEY PHARMD
Practice Location Address:
4520 WESTERN CENTER BLVD
HALTOM CITY, TX
76137-2635
Practice Phone: 817-514-8063
Practice Fax: 817-514-9570
1427334010 — WELDON KOECH
Practice Location Address:
4520 WESTERN CENTER BLVD
HALTOM CITY, TX
76137-2635
Practice Phone: 817-514-8063
Practice Fax:
1881970176 — JOHN MBEPO PHARMD
Practice Location Address:
4520 WESTERN CENTER BLVD
HALTOM CITY, TX
76137-2635
Practice Phone: 817-514-8064
Practice Fax:
1922385947 — NICHOLAS OKORONKWO
Practice Location Address:
4520 WESTERN CENTER BLVD
HALTOM CITY, TX
76137-2635
Practice Phone: 817-514-8063
Practice Fax: 817-514-9570
1205183241 — CHELSEA FRAZIER PHARMD
Practice Location Address:
4520 WESTERN CENTER BLVD
HALTOM CITY, TX
76137-2635
Practice Phone: 817-514-8063
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 © 2007-2025 (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.