Walgreens #11176

LBN: Walgreen Co
Walgreens #11176 is an health care organization with primary practice located at 812 N Main St , Lake Mills WI 53551-1117. 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 (920) 648-5187, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
812 N Main St Lake Mills WI 53551-1117
Phone: (920) 648-5187
Fax: (920) 648-5976
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 8802-42 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467634709
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11176
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2007
Last updated Oct 30th, 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 1467634709 NPPES
Other 4840535 NCPDP
MEDICAID 36224200 NCPDP

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