Walgreens #09105

LBN: Walgreen Co
Walgreens #09105 is an health care organization with primary practice located at 1280 W Foothill Blvd , Rialto CA 92376-4686. 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 (909) 879-0305, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
1280 W Foothill Blvd Rialto CA 92376-4686
Phone: (909) 879-0305
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 PHY47327 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1184651788
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09105
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2006
Last updated Jun 4th, 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 1184651788 NPPES
California MEDICAID 1184651788
California MEDICAID PHA473270
California Other 5616581

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