Be Well Pharmacy At Tyson

LBN: Walgreen Co
Be Well Pharmacy At Tyson is an health care organization with primary practice located at 1680 Capital One Dr Ste 100Rx , Mc Lean VA 22102-3407. 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 (571) 581-3147, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1680 Capital One Dr Ste 100Rx Mc Lean VA 22102-3407
Phone: (571) 581-3147
Fax: (571) 581-3148
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1336717164
LBN Legal business name Walgreen Co
DBA Doing business as Be Well Pharmacy At Tyson
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2021
Last updated Jun 14th, 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 1336717164 NPPES
Virginia MEDICAID 2021244557
Virginia Other 4851615

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