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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
3333600000XPharmacy60004838AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21532111OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1871508911
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 : 5095 E THOMPSON RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1946
Country : US
Telephone Number : 317-783-6547
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 : 11/06/2023

Similar Medicare Providers

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Practice Location Address:
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1679859078 — MRS. ERIN KRUEGER PHARMD
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1275059735 — TARANVIR CHOHAN
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1689219081 — SARA JEANNE SHEARBURN PHARMD
Practice Location Address:
5095 E THOMPSON RD
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46237-1946
Practice Phone: 317-783-5647
Practice Fax:
1922680776 — KYLA COLEMAN
Practice Location Address:
5095 E THOMPSON RD
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Practice Fax:
1598776742 — INDIANA HEALTH CENTERS, INC.
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Directions to “WALGREEN CO ” Practice Location

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