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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	P07776	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2141442	OTHER	MD	NCPDP

General Provider Information

NPI Number	:	1700300514
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	:	101 BISHOP MURPHY DR
Second Line	:
City	:	FROSTBURG
State	:	MD
Zip	:	21532-1329
Country	:	US
Telephone Number	:	301-689-2422
Fax Number	:	301-689-2919

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	05/16/2022

Similar Medicare Providers

1306825484 — DR. JACQUELINE RENEE PALAISA DMD, MS
Practice Location Address:

151 BISHOP MURPHY DR , SUITE B
FROSTBURG, MD
21532-1329

Practice Phone: 301-689-9111
Practice Fax:

1912168261 — DR. MELANIE B BITTNER
Practice Location Address:

101 BISHOP MURPHY DR
FROSTBURG, MD
21532-1329

Practice Phone: 301-689-2422
Practice Fax:

1972755098 — DIANE D ROMAINE, DMD, PA
Practice Location Address:

151 BISHOP MURPHY DR
FROSTBURG, MD
21532-1329

Practice Phone: 301-689-6780
Practice Fax: 301-687-8011

1205135647 — WENDY JACOBS
Practice Location Address:

101 BISHOP MURPHY DR
FROSTBURG, MD
21532-1329

Practice Phone: 301-689-2422
Practice Fax: 301-689-2919

1275826117 — DR. ELIZABETH GONZALEZ D.D.S
Practice Location Address:

151 BISHOP MURPHY DR
FROSTBURG, MD
21532-1329

Practice Phone: 301-689-6780
Practice Fax: 301-687-8011

1962924258 — GUIANI VERNON BITKEU BIALI PHARMACIST
Practice Location Address:

101 BISHOP MURPHY DR
FROSTBURG, MD
21532-1329

Practice Phone: 301-689-2422
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.