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	PH1131	FL

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	1000431	OTHER	FL	NCPDP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801815030
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	:	4502 S ORANGE BLOSSOM TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-1704
Country	:	US
Telephone Number	:	407-851-6040
Fax Number	:

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	11/01/2023

Similar Medicare Providers

1558587717 — DR. ROBERT J BOCHENSKI MD
Practice Location Address:

4530 S ORANGE BLOSSOM TRL # 506
ORLANDO, FL
32839-1704

Practice Phone: 218-230-4508
Practice Fax:

1003185398 — HOANG CUC THI NGUYEN PHARMD
Practice Location Address:

4502 S ORANGE BLOSSOM TRL
ORLANDO, FL
32839-1704

Practice Phone: 407-851-6040
Practice Fax: 407-859-2558

1679842884 — DR. BHAVANI REDDY THALAMARLA PHARMD
Practice Location Address:

4502 S ORANGE BLOSSOM TRL
ORLANDO, FL
32839-1704

Practice Phone: 407-851-6040
Practice Fax:

1871003574 — YULISA ASTUDILLO ARNP
Practice Location Address:

4530 S ORANGE BLOSSOM TRL # 965
ORLANDO, FL
32839-1704

Practice Phone: 352-835-2391
Practice Fax:

1275017352 — CAREMILES LLC
Practice Location Address:

4530 S ORANGE BLOSSOM TRL # 538
ORLANDO, FL
32839-1704

Practice Phone: 682-234-1164
Practice Fax:

1235785288 — WHOLE FAMILY SOLUTIONS LLC
Practice Location Address:

4530 S ORANGE BLOSSOM TRL STE 613
ORLANDO, FL
32839-1704

Practice Phone: 321-837-9745
Practice Fax: 844-809-6219

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.