Walgreens #10539

LBN: Walgreen Co
Walgreens #10539 is an health care organization with primary practice located at 12400 Auto Dr , Clarksville MD 21029-2200. 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 (410) 531-6030, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
12400 Auto Dr Clarksville MD 21029-2200
Fax: (410) 531-7481
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P06761 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427231646
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10539
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 2007
Last updated Nov 7th, 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 1427231646 NPPES
Maryland MEDICAID 416305200
Maryland Other 2133798
Maryland Other 416306100

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