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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
3333600000XPharmacy054.003710IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11403168OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1720093867
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 : 8361 BELMONT AVE
Second Line :
City : RIVER GROVE
State : IL
Zip : 60171-1001
Country : US
Telephone Number : 708-452-8060
Fax Number :
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 : 11/03/2023

Similar Medicare Providers

1760762496 — MR. JEROME MICHAEL FISHER RPH
Practice Location Address:
8361 BELMONT AVE
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Practice Phone: 708-452-8062
Practice Fax:
1508147620 — MR. CRAIG WOLF
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1811278799 — MRS. ELZBIETA GURGUL
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1043870249 — NEVILLE WUSAOBI CHUKWU PHARM. D
Practice Location Address:
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Practice Fax: 708-452-4975
1659019693 — WALGREEN CO.
Practice Location Address:
8361 BELMONT AVE
RIVER GROVE, IL
60171-1001
Practice Phone: 217-709-2351
Practice Fax:
1003890104 — KEVIN HENDRIX DPT, ATC
Practice Location Address:
8937 GRAND AVE
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Directions to “WALGREEN CO ” Practice Location

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