DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
3333600000XPharmacy54014373IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11472404OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871500959
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST
Second Line : MAILSTOP #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 : 4748 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-4640
Country : US
Telephone Number : 773-745-6642
Fax Number : 773-745-7350
Authorized Official
Title or Position : MANAGER
Name : KIRA L TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 08/02/2006
Last Update Date : 04/21/2022

Similar Medicare Providers

1770863359 — DEVAL PATEL PHARM D
Practice Location Address:
4748 W NORTH AVE
CHICAGO, IL
60639-4640
Practice Phone: 773-745-6642
Practice Fax: 773-745-7350
1366722878 — SANA P KHAN PHARM D
Practice Location Address:
4748 W NORTH AVE
CHICAGO, IL
60639-4640
Practice Phone: 773-745-6642
Practice Fax:
1093097875 — SUSHIL P PATEL PHARM.D.
Practice Location Address:
4748 W NORTH AVE
CHICAGO, IL
60639-4640
Practice Phone: 773-745-6642
Practice Fax:
1538442215 — DAVID ALEXANDER
Practice Location Address:
4748 W NORTH AVE
CHICAGO, IL
60639-4640
Practice Phone: 773-745-6642
Practice Fax: 773-745-7350
1194361196 — DR. ANDRE ROBERTS PHARMD
Practice Location Address:
4748 W NORTH AVE
CHICAGO, IL
60639-4640
Practice Phone: 773-745-6642
Practice Fax:
1346852829 — OLUFUNMILAYO MARY OSHOLOWU RPH
Practice Location Address:
4748 W NORTH AVE
CHICAGO, IL
60639-4640
Practice Phone: 773-745-6642
Practice Fax: 773-745-7350

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 © 2007-2025 (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.