Walgreens # 15311

LBN: Walgreen Co.
Walgreens # 15311 is an health care organization with primary practice located at 115 N Euclid Ave Ste A , Saint Louis MO 63108-1503. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co. can be contacted via phone (314) 454-6676, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
115 N Euclid Ave Ste A Saint Louis MO 63108-1503
Phone: (314) 454-6676
Fax: (314) 367-1881
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 2012013999 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1396018883
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens # 15311
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 15th, 2012
Last updated Oct 5th, 2023 - 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 1396018883 NPPES
Missouri MEDICAID 608323903
Missouri Other 2640173
Missouri MEDICAID 100848510F

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