Walgreens #09228

LBN: Walgreen Co
Walgreens #09228 is an health care organization with primary practice located at 2460 Memorial Hwy , Dallas PA 18612-9248. 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 (570) 675-4807, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
2460 Memorial Hwy Dallas PA 18612-9248
Phone: (570) 675-4807
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PP481726 Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386862290
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09228
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jun 10th, 2022 - about 3 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 1386862290 NPPES
Other 3988182 NCPDP
MEDICAID 1007669700114 NCPDP

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