MEDICARE: WALGREENS PHARMACY

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
1	3336C0003X	Community/Retail Pharmacy	0000004043	TN

General Provider Information

NPI Number	:	1700199585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREENS PHARMACY

Provider Business Mailing Address
First Line	:	3502 SUMMER AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-3628
Country	:	US
Telephone Number	:	901-327-4483
Fax Number	:

Provider Business Practice Location Address
First Line	:	3502 SUMMER AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-3628
Country	:	US
Telephone Number	:	901-327-4483
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	DR. DIANNE LODGE
Credential	:	PHARMACIST
Telephone Number	:	901-327-4483

Provider Enumeration Date	:	07/21/2010
Last Update Date	:	07/21/2010

Similar Medicare Providers

1639186646 — WALGREEN CO
Practice Location Address:

3502 SUMMER AVE
MEMPHIS, TN
38122-3628

Practice Phone: 901-327-4483
Practice Fax:

1831462191 — AMANI PATRICE JOHNSONSINGHBARNETT PHARMD
Practice Location Address:

3502 SUMMER AVE
MEMPHIS, TN
38122-3628

Practice Phone: 901-327-4483
Practice Fax:

1518560697 — ANNA LAROUCHE LCSW
Practice Location Address:

3628 SUMMER AVE
MEMPHIS, TN
38122-3740

Practice Phone: 901-452-6941
Practice Fax:

1053267047 — LEGACY EXPRESS TRANSPORTATION
Practice Location Address:

3540 SUMMER AVE STE 405
MEMPHIS, TN
38122-3633

Practice Phone: 901-604-2704
Practice Fax: 901-604-2704

1467309872 — CRANIAL PROSTHESIS OF MEMPHIS
Practice Location Address:

4564 WARDEN RD STE K
MEMPHIS, TN
38122-4120

Practice Phone: 901-877-8440
Practice Fax:

1124971072 — LATISHA JOHNSON
Practice Location Address:

3478 BUCHANAN AVE
MEMPHIS, TN
38122-4922

Practice Phone: 901-407-5386
Practice Fax:

Directions to “WALGREENS PHARMACY ” 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.