Walgreens #21430

LBN: Walgreen Co
Walgreens #21430 is an health care organization with primary practice located at 103 N Walnut St , Fairmont NC 28340-1951. 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 (910) 628-6068, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
103 N Walnut St Fairmont NC 28340-1951
Phone: (910) 628-6068
Fax: (910) 628-9059
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 1235565755
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #21430
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 16th, 2013
Last updated May 9th, 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 1235565755 NPPES
North Carolina Other 3462568 NCPDP
North Carolina MEDICAID 1235565755 NCPDP

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