Walgreens #10715

LBN: Walgreen Co
Walgreens #10715 is an health care organization with primary practice located at 131 N 26Th St , Arkadelphia AR 71923-4348. 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 (870) 230-1809, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
131 N 26Th St Arkadelphia AR 71923-4348
Fax: (870) 230-1841
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X AR20564 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1396866687
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10715
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Oct 25th, 2023 - about 2 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 1396866687 NPPES
Arkansas MEDICAID 164445407
Arkansas MEDICAID 165133716-DME
Arkansas Other 0422648

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