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	DS90147	MA

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

General Provider Information

NPI Number	:	1871011007
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	:	1099 WASHINGTON ST
Second Line	:
City	:	SOUTH ATTLEBORO
State	:	MA
Zip	:	02703-7944
Country	:	US
Telephone Number	:	508-399-8070
Fax Number	:	508-761-6150

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

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	05/16/2022

Similar Medicare Providers

1275823940 — MRS. TRACIE BOUDREAU RPH
Practice Location Address:

1099 WASHINGTON ST
SOUTH ATTLEBORO, MA
02703-7944

Practice Phone: 508-399-8070
Practice Fax: 508-761-6150

1871188847 — HARALAMBOS THEODOROPOULOS
Practice Location Address:

1099 WASHINGTON ST
SOUTH ATTLEBORO, MA
02703-7944

Practice Phone: 508-399-8070
Practice Fax:

1205858370 — DOROTHY CURTIS RPT
Practice Location Address:

1095 WASHINGTON ST
ATTLEBORO, MA
02703-7944

Practice Phone: 508-761-9000
Practice Fax: 508-761-9111

1619134749 — MILTON CHIRO AND REHAB INC
Practice Location Address:

1095 WASHINGTON ST
ATTLEBORO, MA
02703-7944

Practice Phone: 508-761-9000
Practice Fax:

1154633782 — PATRICIA SELIGA MOORE DC
Practice Location Address:

1095 WASHINGTON ST
ATTLEBORO, MA
02703-7944

Practice Phone: 508-761-9000
Practice Fax: 508-761-9111

1710272422 — JUDITH P CHARRON RPH
Practice Location Address:

1099 WASHINGTON ST
ATTLEBORO, MA
02703-7944

Practice Phone: 508-399-8070
Practice Fax: 508-761-6150

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.