Walgreens #12042

LBN: Walgreen Co
Walgreens #12042 is an health care organization with primary practice located at 2901 Center Ave , Essexville MI 48732-1703. 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 (989) 894-4832, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
2901 Center Ave Essexville MI 48732-1703
Fax: (989) 894-4866
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X L1388044 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1073772109
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12042
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 4th, 2008
Last updated Mar 28th, 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 1073772109 NPPES
Michigan Other 1073772109 MI MEDICAID (DME)
Michigan Other 2371362 MI MEDICAID (DME)
Michigan Other 2371362 MI MEDICAID (DME)

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