Walgreens #16374

LBN: Walgreen Co
Walgreens #16374 is an health care organization with primary practice located at 4501 Woodward Ave Suite 105, Detroit MI 48201-1890. 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 (313) 230-2170, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
4501 Woodward Ave Suite 105 Detroit MI 48201-1890
Phone: (313) 230-2170
Fax: (312) 230-2004
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Michigan
Suppliers / Pharmacy 333600000X 5301010747 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X Michigan

Profile Details

NPI number 1063883403
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #16374
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 12th, 2015
Last updated May 6th, 2022 - about 4 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 1063883403 NPPES
Michigan MEDICAID 1063883403
Michigan Other 2381262

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