Walgreens #12126

LBN: Walgreen Co.
Walgreens #12126 is an health care organization with primary practice located at 1680 W Lane Rd , Machesney Park IL 61115-1623. 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 (815) 282-1203, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1680 W Lane Rd Machesney Park IL 61115-1623
Phone: (815) 282-1203
Fax: (815) 282-1949
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 054.019049 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1336302512
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #12126
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 8th, 2008
Last updated Mar 29th, 2022 - 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 1336302512 NPPES
Other 1482203 NCPDP

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