Walgreens #10063

LBN: Walgreen Co
Walgreens #10063 is an health care organization with primary practice located at 6300 Crain Hwy , La Plata MD 20646-4259. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (301) 392-6116, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
6300 Crain Hwy La Plata MD 20646-4259
Fax: (301) 392-1544
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P06764 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013187384
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10063
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 3rd, 2008
Last updated Nov 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013187384 NPPES
Maryland Other 415231000 MEDICAID DME
Maryland MEDICAID 415230100 MEDICAID DME
Maryland Other 2133914 MEDICAID DME

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