Walgreens #10523

LBN: Walgreen Co
Walgreens #10523 is an health care organization with primary practice located at 1613 Glenn Blvd Sw , Fort Payne AL 35968-3531. 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 (256) 845-0128, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1613 Glenn Blvd Sw Fort Payne AL 35968-3531
Phone: (256) 845-0128
Fax: (256) 845-9984
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
Suppliers / Pharmacy 333600000X 112916 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124150321
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10523
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 12th, 2007
Last updated Oct 16th, 2023 - about 3 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 1124150321 NPPES
Other 0134243 NCPDP
MEDICAID 100003774 NCPDP
MEDICAID 009910754-DME NCPDP
MEDICAID 417045483A NCPDP
Other 417045483B NCPDP

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