Walgreens #15788

LBN: Walgreen Co
Walgreens #15788 is an health care organization with primary practice located at 900 N 6Th St , Blytheville AR 72315-1702. 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 (870) 763-4507, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
900 N 6Th St Blytheville AR 72315-1702
Phone: (870) 763-4507
Fax: (870) 762-0782
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 AR20073 Arkansas
Suppliers / Pharmacy 333600000X AR20073 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1346323755
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15788
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jun 20th, 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 1346323755 NPPES
Arkansas Other 135626716 MEDICAID DME
Arkansas Other 0415299 MEDICAID DME
Arkansas MEDICAID 608053104 MEDICAID DME
Arkansas Other P00335262 MEDICAID DME
Arkansas MEDICAID 135626716 MEDICAID DME
Arkansas Other 628053100 MEDICAID DME
Arkansas Other 10615 MEDICAID DME
Arkansas MEDICAID 133192407 MEDICAID DME

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