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 Pharmacy027933NY
3333600000XPharmacy027933NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102820515OTHERNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700816576
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 : 929 ARSENAL ST
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-2305
Country : US
Telephone Number : 315-788-0309
Fax Number : 315-788-1702
Authorized Official
Title or Position : MANAGER
Name : KIRA TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 07/04/2006
Last Update Date : 11/07/2023

Similar Medicare Providers

1063674158 — DR. KYLIE ANN LANE PHARM.D.
Practice Location Address:
929 ARSENAL ST
WATERTOWN, NY
13601-2305
Practice Phone: 315-788-0309
Practice Fax:
1710209416 — KYLENE MARIE ELLIOTT PHARM. D.
Practice Location Address:
929 ARSENAL ST
WATERTOWN, NY
13601-2305
Practice Phone: 315-788-0309
Practice Fax: 315-788-1702
1487976049 — BRITTANY BLISS MANNINEN RPH
Practice Location Address:
929 ARSENAL ST
WATERTOWN, NY
13601-2305
Practice Phone: 315-788-0309
Practice Fax: 315-788-1702
1053633503 — MRS. LISA E BONNER RPH
Practice Location Address:
929 ARSENAL ST
WATERTOWN, NY
13601-2305
Practice Phone: 315-788-0309
Practice Fax: 315-788-1702
1215684956 — DR. INES MAGALI MBAMI PHARMD
Practice Location Address:
929 ARSENAL ST
WATERTOWN, NY
13601-2305
Practice Phone: 315-788-0309
Practice Fax: 315-788-1702
1699482653 — KYRA FAIRLEY
Practice Location Address:
929 ARSENAL ST
WATERTOWN, NY
13601-2305
Practice Phone: 315-788-0309
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.