Walgreens #21446

LBN: Walgreen Co
Walgreens #21446 is an health care organization with primary practice located at 10819 S 192Nd Ave , Gretna NE 68028-3646. 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 (531) 213-3628, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
10819 S 192Nd Ave Gretna NE 68028-3646
Phone: (531) 213-3628
Fax: (531) 213-3629
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1215707807
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #21446
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 4th, 2024
Last updated Apr 8th, 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 1215707807 NPPES
Nebraska MEDICAID 10026420504

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