Walgreens #01988

LBN: Walgreen Co
Walgreens #01988 is an health care organization with primary practice located at 1915 Wisconsin Ave , Grafton WI 53024-2605. The organization recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, 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 (412) 650-7354, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1915 Wisconsin Ave Grafton WI 53024-2605
Phone: (412) 650-7354
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 8567-042 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1245284272
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #01988
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2006
Last updated Mar 3rd, 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 1245284272 NPPES
Other 0282935305 NCPDP
MEDICAID 33288800 NCPDP

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