Walgreens #11959

LBN: Walgreen Co
Walgreens #11959 is an health care organization with primary practice located at 5201 Central Ave Ne , Albuquerque NM 87108-1328. 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 (505) 217-9907, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
5201 Central Ave Ne Albuquerque NM 87108-1328
Fax: (505) 217-9913
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH00003956 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1043491681
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11959
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 26th, 2007
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 1043491681 NPPES
Arizona MEDICAID 563257
Arizona MEDICAID 21123764
Arizona Other 3211543

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