Walgreens #17554

LBN: Walgreen Co
Walgreens #17554 is an health care organization with primary practice located at 1736 Old Morganton Rd , Southern Pines NC 28387. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (910) 692-7158, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1736 Old Morganton Rd Southern Pines NC 28387
Fax: (910) 692-0748
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1518484559
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #17554
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2017
Last updated Sep 8th, 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 1518484559 NPPES
North Carolina Other 3468990 NCPDP
North Carolina MEDICAID 1518484559 NCPDP

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