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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
3333600000XPharmacy260152MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22416382OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1861407173
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 : 4501 GRAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55807-2754
Country : US
Telephone Number : 218-628-2897
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 : 05/13/2022

Similar Medicare Providers

1265397749 — SYLVIAN MANYI KAISER
Practice Location Address:
4501 GRAND AVE
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1174739254 — MR. MARK ANTHONY YAPEL RPH
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1962612135 — JAMES RYAN NOVAK PHARM.D.
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1679858864 — DR. JACOB MADERICH PHARM D
Practice Location Address:
4501 GRAND AVE
DULUTH, MN
55807-2754
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Practice Fax:
1215212204 — JACUB MICHAEL KALISZEWSKI PHARMD, RPH
Practice Location Address:
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55807-2754
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Practice Fax: 218-624-5853
1932485554 — STEVEN LAMPPA RPH
Practice Location Address:
4501 GRAND AVE
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Directions to “WALGREEN CO ” Practice Location

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