Walgreens #05039

LBN: Walgreen Co
Walgreens #05039 is an health care organization with primary practice located at 746 W University Dr , Mesa AZ 85201-5613. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (480) 668-6350, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
746 W University Dr Mesa AZ 85201-5613
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Pharmacy 333600000X 3204 Arizona

Profile Details

NPI number 1396751707
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #05039
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2006
Last updated Apr 22nd, 2022 - about 8 months 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 1396751707 NPPES
Other 0323840 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 491168 OTHER ID NUMBER-COMMERCIAL NUMBER

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