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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
2291U00000XClinical Medical Laboratory
33336C0003XCommunity/Retail Pharmacy
4333600000XPharmacy917KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41801364OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1952316192
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 : 1825 DIXIE HWY
Second Line :
City : FT WRIGHT
State : KY
Zip : 41011-2646
Country : US
Telephone Number : 859-331-0370
Fax Number : 859-331-9728
Authorized Official
Title or Position : MANAGER
Name : KIRA TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 07/29/2006
Last Update Date : 06/12/2026

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1265713481 — MRS. MICHELLE S LOOS B.S
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1982986113 — ELIZABETH ANN PAPAS
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1669754669 — MS. DANA C MILLER RPH
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FT WRIGHT, KY
41011-2646
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1003199027 — DR. KAREN SMITH PHARMD
Practice Location Address:
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1801220363 — DR. GARY JAMES DAVIS PHARM. D.
Practice Location Address:
1825 DIXIE HWY
FT WRIGHT, KY
41011-2646
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Practice Fax: 859-331-9728

Directions to “WALGREEN CO ” Practice Location

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