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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
3333600000XPharmacy

General Provider Information

NPI Number : 1881449643
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO.
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST # MS 790
Second Line :
City : DANVILLE
State : IL
Zip : 61834-4509
Country : US
Telephone Number : 217-709-2364
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 2970 SHASHO PL
Second Line :
City : WALDORF
State : MD
Zip : 20603-4840
Country : US
Telephone Number : 301-645-3095
Fax Number :
Authorized Official
Title or Position : DIRECTOR - AR CENTRAL
Name : VIRGINIA GARZA
Credential :
Telephone Number : 217-709-2364
Provider Enumeration Date : 04/23/2024
Last Update Date : 04/23/2024

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Directions to “WALGREEN CO. ” Practice Location

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