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
3333600000XPharmacy19837TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24509949OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689689663
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 : 4501 GUADALUPE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-2937
Country : US
Telephone Number : 512-323-6098
Fax Number : 512-323-6735
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 : 04/13/2022

Similar Medicare Providers

1831427863 — JOHN CHRISTOPHER ARMSTRONG PHARM.D.
Practice Location Address:
4501 GUADALUPE ST
AUSTIN, TX
78751-2937
Practice Phone: 512-323-6098
Practice Fax: 512-323-6735
1932437878 — AARON BOAS PHARMD
Practice Location Address:
4501 GUADALUPE ST
AUSTIN, TX
78751-2937
Practice Phone: 512-323-6098
Practice Fax:
1043549884 — LAURA OESCHLER
Practice Location Address:
4501 GUADALUPE ST
AUSTIN, TX
78751-2937
Practice Phone: 512-323-6098
Practice Fax: 512-323-6735
1902135478 — KATHERINE JOHNSON RPH
Practice Location Address:
4501 GUADALUPE ST
AUSTIN, TX
78751-2937
Practice Phone: 512-323-6098
Practice Fax: 512-323-6735
1609105725 — JUDY L TOBIN
Practice Location Address:
4501 GUADALUPE ST
AUSTIN, TX
78751-2937
Practice Phone: 512-323-6098
Practice Fax:
1023394004 — MR. LESTER ALLAN MATTSON RPH
Practice Location Address:
4501 GUADALUPE ST
AUSTIN, TX
78751-2937
Practice Phone: 512-323-6098
Practice Fax: 512-323-6735

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.