Walgreens #01972

LBN: Walgreen Co
Walgreens #01972 is an health care organization with primary practice located at 6725 N Glenwood St , Boise ID 83714-1913. 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 (208) 319-1271, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
6725 N Glenwood St Boise ID 83714-1913
Phone: (208) 319-1271
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 38588RP Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1134134257
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #01972
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Jun 6th, 2024 - 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 1134134257 NPPES
Idaho MEDICAID 807266200
Idaho Other 1307570

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