Walgreens #09824

LBN: Walgreen Co.
Walgreens #09824 is an health care organization with primary practice located at 705 S State St , Jerseyville IL 62052-2340. 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 (618) 498-4989, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
705 S State St Jerseyville IL 62052-2340
Phone: (618) 498-4989
Fax: (618) 498-8648
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 054.019058 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104847375
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #09824
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Nov 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104847375 NPPES
Other 1479799 NCPDP

Popular Providers