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
3333600000XPharmacy50-010617SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14229008OTHERSCNCPDP
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 : 1699906461
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 : 3621 SAVANNAH HWY
Second Line :
City : JOHNS ISLAND
State : SC
Zip : 29455-7937
Country : US
Telephone Number : 843-571-0615
Fax Number : 843-571-0783
Authorized Official
Title or Position : MANAFER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/28/2009
Last Update Date : 05/06/2026

Similar Medicare Providers

1871890293 — CYNTHIA ANN CAMACHO PHARM D
Practice Location Address:
3621 SAVANNAH HWY
JOHNS ISLAND, SC
29455-7937
Practice Phone: 843-571-0615
Practice Fax: 843-571-0783
1881991297 — AMY ZEIGLER PHARMD
Practice Location Address:
3621 SAVANNAH HWY
JOHNS ISLAND, SC
29455-7937
Practice Phone: 843-571-0615
Practice Fax:
1326345687 — REGINA GRIFFITH RPH
Practice Location Address:
3621 SAVANNAH HWY
JOHNS ISLAND, SC
29455-7937
Practice Phone: 843-571-0615
Practice Fax:
1285931238 — MONICA DAWN BARDEN PHARMD
Practice Location Address:
3621 SAVANNAH HWY
JOHNS ISLAND, SC
29455-7937
Practice Phone: 843-571-0615
Practice Fax:
1982011839 — DR. ASHLEY PERDUE JORDAN PHARMD
Practice Location Address:
3621 SAVANNAH HWY
JOHNS ISLAND, SC
29455-7937
Practice Phone: 843-571-0615
Practice Fax:
1770315871 — NATALIE SMITH
Practice Location Address:
3621 SAVANNAH HWY
JOHNS ISLAND, SC
29455-7937
Practice Phone: 843-571-0615
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.