DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
3333600000XPharmacy54009613IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21457034OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1972518108
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 : 635 CHICAGO AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-2365
Country : US
Telephone Number : 847-864-8120
Fax Number : 847-864-4974
Authorized Official
Title or Position : MANAGER
Name : KIRA TAYLOR
Credential :
Telephone Number : 217-709-2351
Provider Enumeration Date : 07/29/2006
Last Update Date : 04/28/2022

Similar Medicare Providers

1922156553 — LUXOTTICA OF AMERICA INC
Practice Location Address:
635 CHICAGO AVE
EVANSTON, IL
60202-2365
Practice Phone: 847-864-8176
Practice Fax:
1407075831 — STATUS POST SURGICAL SERVICES INC.
Practice Location Address:
635 CHICAGO AVE , SUITE 203
EVANSTON, IL
60202-2365
Practice Phone: 312-402-2825
Practice Fax:
1265634810 — DR. KAMRAN HUSSAIN O.D.
Practice Location Address:
635 CHICAGO AVE
EVANSTON, IL
60202-2365
Practice Phone: 847-901-0781
Practice Fax:
1326308941 — DIANA L HASKINS
Practice Location Address:
635 CHICAGO AVE
EVANSTON, IL
60202-2365
Practice Phone: 847-864-8209
Practice Fax: 847-864-0058
1700219185 — REBECCA Y LI PHARM D
Practice Location Address:
635 CHICAGO AVE
EVANSTON, IL
60202-2365
Practice Phone: 847-864-8120
Practice Fax: 847-864-4974
1497169882 — DR. WILLIAM EDWARD GORDON D.D.S
Practice Location Address:
635 CHICAGO AVE
EVANSTON, IL
60202-2365
Practice Phone: 847-491-0880
Practice Fax: 773-927-1692

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.