Walgreens #07690

LBN: Walgreen Co
Walgreens #07690 is an health care organization with primary practice located at 100 N Memorial Dr , New Castle IN 47362-4915. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (765) 521-0189, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
100 N Memorial Dr New Castle IN 47362-4915
Phone: (765) 521-0189
Fax: (765) 521-7124
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 60006095A Indiana
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1104018241
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #07690
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 13th, 2007
Last updated Jun 3rd, 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 1104018241 NPPES
Kentucky MEDICAID 7100634550
Kentucky Other 1561807
Kentucky MEDICAID 200873800A

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