Walgreens #15730

LBN: Walgreen Co
Walgreens #15730 is an health care organization with primary practice located at 3222 S Main St , Joplin MO 64804-3824. 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 (417) 624-6300, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
3222 S Main St Joplin MO 64804-3824
Phone: (417) 624-6300
Fax: (417) 624-5818
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 2017006070 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1487738522
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15730
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated May 2nd, 2022 - about 4 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 1487738522 NPPES
Missouri Other 200077890T MEDICAID DME
Missouri Other 2613784 MEDICAID DME
Missouri MEDICAID 600051726 MEDICAID DME
Missouri MEDICAID 100236540A MEDICAID DME
Missouri Other 400522489 MEDICAID DME
Missouri Other 100434660A MEDICAID DME

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