Walgreens #15817

LBN: Walgreen Co
Walgreens #15817 is an health care organization with primary practice located at 310 S Martin St , Warren AR 71671-2818. 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 / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (870) 226-3746, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
310 S Martin St Warren AR 71671-2818
Phone: (870) 226-3746
Fax: (870) 226-5824
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 AR06466 Arkansas
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR06466 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1124102264
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15817
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated May 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 1124102264 NPPES
Arkansas MEDICAID 100429407
Arkansas MEDICAID 797590
Arkansas Other 0406466
Arkansas Other 48270
Arkansas Other 135742716
Arkansas Other 0406466

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