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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
3333600000XPharmacyPH22534FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31024138OTHERNCPDP

General Provider Information

NPI Number : 1851434807
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 : 217-709-2364
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 1103 US HIGHWAY 331 S
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-3383
Country : US
Telephone Number : 850-951-9880
Fax Number : 850-951-9886
Authorized Official
Title or Position : MANAGER
Name : VIRGINIA GARZA
Credential :
Telephone Number : 217-709-2364
Provider Enumeration Date : 02/15/2007
Last Update Date : 07/26/2024

Similar Medicare Providers

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1336621515 — DALIA GUADAMUZ
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Directions to “WALGREEN CO ” Practice Location

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