<Unavail>

LBN: Walgreen Co
<Unavail> is an health care organization with primary practice located at 1010 E Ireland Rd , South Bend IN 46614-2665. 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 (574) 299-0154, or through Ponce, Jennifer via phone (847) 527-2489.

Contact Information

Primary practice address
1010 E Ireland Rd South Bend IN 46614-2665
Phone: (574) 299-0154
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ponce, Jennifer
Phone: (847) 527-2489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 60003275 Indiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013922137
LBN Legal business name Walgreen Co
DBA Doing business as <Unavail>
Authorized official Ponce, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Oct 1st, 2025 - about last year

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 1013922137 NPPES
Indiana MEDICAID 100307850A
Indiana Other 1524354

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