Walgreens #09616

LBN: Walgreen Co
Walgreens #09616 is an health care organization with primary practice located at 16020 Perris Blvd , Moreno Valley CA 92551-4618. 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 (951) 247-2113, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
16020 Perris Blvd Moreno Valley CA 92551-4618
Phone: (951) 247-2113
Fax: (951) 247-2762
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY48662 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1528263308
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09616
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 20th, 2007
Last updated Jun 5th, 2024 - 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 1528263308 NPPES
California MEDICAID PHA486620
California MEDICAID 1528263308
California Other 5627243

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