MEDICARE: WALGREENS CORPORATION

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	R1057	NH

General Provider Information

NPI Number	:	1922217363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREENS CORPORATION

Provider Business Mailing Address
First Line	:	37 AMBLE RD
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-1931
Country	:	US
Telephone Number	:	978-256-8731
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 WEST ST
Second Line	:
City	:	KEENE
State	:	NH
Zip	:	03431-2453
Country	:	US
Telephone Number	:	603-357-1002
Fax Number	:	603-352-6974

Authorized Official
Title or Position	:	PARMACY DISTRICT SUPERVISOR
Name	:	MR. LEO LARIVIERA
Credential	:	R.PH.
Telephone Number	:	603-472-2346

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

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Directions to “WALGREENS CORPORATION ” Practice Location

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