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	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	38570RP	ID

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
2	1307304	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1871508994
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	:	1012 CLEVELAND BLVD
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-3852
Country	:	US
Telephone Number	:	208-455-1792
Fax Number	:	208-459-2029

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	:	05/16/2022

Similar Medicare Providers

1003190596 — DR. DUSTIN D EDWARDS PHARM D.
Practice Location Address:

1012 CLEVELAND BLVD
CALDWELL, ID
83605-3852

Practice Phone: 208-455-1792
Practice Fax: 208-459-2029

1922405786 — MELISSA GILLEARD PHARMD
Practice Location Address:

1012 CLEVELAND BLVD
CALDWELL, ID
83605-3852

Practice Phone: 208-455-1792
Practice Fax: 208-459-2029

1477102317 — MELISSA ANN MALMIN
Practice Location Address:

1012 CLEVELAND BLVD
CALDWELL, ID
83605-3852

Practice Phone: 208-455-1792
Practice Fax:

1023846904 — ALDA ARNAUTOVIC PHARMD
Practice Location Address:

712 AVIATION WAY
CALDWELL, ID
83605-1154

Practice Phone: 208-302-7450
Practice Fax: 208-302-6625

1336952662 — HANNAH CLIFF PA-C
Practice Location Address:

1906 FAIRVIEW AVE STE 230
CALDWELL, ID
83605-5432

Practice Phone: 208-795-5073
Practice Fax:

1366809683 — BRIANNE TOPMILLER LCSW
Practice Location Address:

718 S 7TH AVE
CALDWELL, ID
83605-4104

Practice Phone: 208-454-1576
Practice Fax: 208-454-9863

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.