Walgreens #11793

LBN: Walgreen Co
Walgreens #11793 is an health care organization with primary practice located at 1100 Ball St , Perry GA 31069-3308. 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 (478) 987-1222, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1100 Ball St Perry GA 31069-3308
Phone: (478) 987-1222
Fax: (478) 987-1512
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE009487 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1063679363
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11793
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2008
Last updated Nov 1st, 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 1063679363 NPPES
Georgia Other 960651411B MEDICAID DME
Georgia MEDICAID 960651411A MEDICAID DME
Georgia Other 1157393 MEDICAID DME

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