Walgreens #12503
LBN: Walgreen Co
Walgreens #12503 is an health care organization with primary practice located at 414 N Main St , Moscow ID 83843-2631. 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 (208) 882-6076, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
414 N Main St
Moscow ID 83843-2631
Phone: (208) 882-6076
Fax: (208) 882-6846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 38488RP | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1346488590 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #12503 |
| Authorized official | Taylor, Kira |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 27th, 2009 |
| Last updated | Apr 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346488590 | NPPES |
| Idaho | MEDICAID | 808315500 | |
| Idaho | Other | 1308116 | |
| Idaho | MEDICAID | 6032460 | |
| Idaho | MEDICAID | 808318900 DME |
Popular Providers
-
Rosauers Supermarkets Inc
411 N Main St , Moscow ID 83843-2630 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Walgreen Co
1810 W Pullman Rd , Moscow ID 83843-4014 -
Hodgins Drug Store, Inc.
307 S Main St , Moscow ID 83843-2913 -
Cashway Pharmacy Of Franklin, Inc.
1419 Hospital Ave , Franklin LA 70538-3722 -
Idaho Cvs Pharmacy Llc
2132 W Pullman Rd , Moscow ID 83843-4011 -
Professional Pharmacy Of Pennsburg Inc
931 Main St , Pennsburg PA 18073-1603 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542