Walgreens #16407

LBN: Walgreen Co
Walgreens #16407 is an health care organization with primary practice located at 200 Wilmot Rd Ms 2140, Deerfield IL 60015-4620. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (224) 323-5093, or through Mann, John A via phone (847) 527-4640.

Contact Information

Primary practice address
200 Wilmot Rd Ms 2140 Deerfield IL 60015-4620
Phone: (224) 323-5093
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mann, John A
Phone: (847) 527-4640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054.019551 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376927699
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #16407
Authorized official Mann, John A
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 16th, 2015
Last updated Oct 12th, 2016 - about 9 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 1376927699 NPPES
Illinois Other 1490818 NCPDP
Illinois MEDICAID 363796738003 NCPDP

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