Walgreens #12763

LBN: Walgreen Co.
Walgreens #12763 is an health care organization with primary practice located at 2180 Main St Ste 102 , Wailuku HI 96793-1625. 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 (808) 244-7252, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
2180 Main St Ste 102 Wailuku HI 96793-1625
Phone: (808) 244-7252
Fax: (808) 242-6875
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 PHY764 Hawaii
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1346495835
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #12763
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 25th, 2008
Last updated Apr 6th, 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 1346495835 NPPES
Other 1240251 NCPDP
MEDICAID 62876101 NCPDP

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