Walgreens #09408

LBN: Walgreen Co.
Walgreens #09408 is an health care organization with primary practice located at 2120 E Southeast Loop 323 , Tyler TX 75701-8318. 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 (903) 593-1507, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
2120 E Southeast Loop 323 Tyler TX 75701-8318
Phone: (903) 593-1507
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 25025 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1083624951
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #09408
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 9th, 2006
Last updated Feb 28th, 2023 - 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 1083624951 NPPES
Texas MEDICAID 466312
Texas Other 4542064
Texas MEDICAID 468338

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