Walgreens #02879

LBN: Walgreen Co
Walgreens #02879 is an health care organization with primary practice located at 2121 S Park St , Madison WI 53713-1219. The organization recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, 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 (608) 257-0804, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
2121 S Park St Madison WI 53713-1219
Phone: (608) 257-0804
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 7281 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013922913
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #02879
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Jun 14th, 2024 - about 2 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 1013922913 NPPES
Wisconsin MEDICAID 33022400
Wisconsin Other 5114777

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