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
2291U00000XClinical Medical Laboratory
33336C0003XCommunity/Retail Pharmacy
4333600000XPharmacy20087TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34512186OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1679588651
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 : 61834-4515
Country : US
Telephone Number : 847-527-2489
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 1223 S MAIN ST
Second Line :
City : BOERNE
State : TX
Zip : 78006-2813
Country : US
Telephone Number : 830-249-9565
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/29/2006
Last Update Date : 05/22/2026

Similar Medicare Providers

1598875700 — MRS. PAMELA DIANE SPAULDING R.PH.
Practice Location Address:
1223 S MAIN ST
BOERNE, TX
78006-2813
Practice Phone: 830-249-9565
Practice Fax:
1780852400 — KARINA LARA D.P.T.
Practice Location Address:
34910 I-10 WEST , STE 401
BOERNE, TX
78006-2813
Practice Phone: 830-816-2611
Practice Fax: 830-816-2688
1104154467 — EDDIE LEE BROWN R.PH
Practice Location Address:
1223 S MAIN ST
BOERNE, TX
78006-2813
Practice Phone: 830-249-9565
Practice Fax:
1124357256 — MS. AMY H WILSON R PH
Practice Location Address:
1223 S MAIN ST
BOERNE, TX
78006-2813
Practice Phone: 210-387-7744
Practice Fax:
1104156447 — KELLY NEWCOM
Practice Location Address:
1223 S MAIN ST
BOERNE, TX
78006-2813
Practice Phone: 830-249-9565
Practice Fax:
1013221852 — JAMES STEWART BEITEL RPH
Practice Location Address:
1223 S MAIN ST
BOERNE, TX
78006-2813
Practice Phone: 830-249-9585
Practice Fax: 830-249-9485

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.