Walgreens #15607

LBN: Walgreen Co
Walgreens #15607 is an health care organization with primary practice located at 1509 E Santa Fe Ave , Grants NM 87020-4005. 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 (505) 658-3107, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1509 E Santa Fe Ave Grants NM 87020-4005
Phone: (505) 658-3107
Fax: (505) 658-3108
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH00004128 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1326450602
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15607
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date May 21st, 2014
Last updated Apr 29th, 2022 - about 4 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 1326450602 NPPES
New Mexico Other 3212660 NCPDP

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