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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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy5301007735MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12364949OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
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 : 1831104975
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 : 61834-4515
Country : US
Telephone Number : 847-527-2489
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 1771 HOLTON RD
Second Line :
City : NORTH MUSKEGON
State : MI
Zip : 49445-1452
Country : US
Telephone Number : 231-744-1391
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/29/2006
Last Update Date : 10/22/2025

Similar Medicare Providers

1982984464 — JAMES A ZOLMAN RPH
Practice Location Address:
1771 HOLTON RD
NORTH MUSKEGON, MI
49445-1452
Practice Phone: 231-744-1391
Practice Fax:
1952682403 — DAVID J ANDERSON RPH
Practice Location Address:
1771 HOLTON RD
NORTH MUSKEGON, MI
49445-1452
Practice Phone: 231-744-1391
Practice Fax:
1801171863 — DR. LESLIE HOLLMAN PHARMD
Practice Location Address:
1771 HOLTON RD
NORTH MUSKEGON, MI
49445-1452
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Practice Fax:
1629345244 — TERRALEE GLENN
Practice Location Address:
1771 HOLTON RD
NORTH MUSKEGON, MI
49445-1452
Practice Phone: 231-744-1391
Practice Fax:
1942783568 — MEGAN CAMPBELL
Practice Location Address:
1771 HOLTON RD
NORTH MUSKEGON, MI
49445-1452
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Practice Fax:
1306838669 — DR. JACQUELINE M SPENCER DO
Practice Location Address:
1452 DEER PARK AVE
NORTH BABYLON, NY
11703
Practice Phone: 631-254-8500
Practice Fax: 631-254-8503

Directions to “WALGREEN CO ” Practice Location

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