Walgreens #5086

LBN: Walgreen Co
Walgreens #5086 is an health care organization with primary practice located at 3120 Chicago Rd , South Chicago Heights IL 60411-5409. 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 (708) 755-7972, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
3120 Chicago Rd South Chicago Heights IL 60411-5409
Phone: (708) 755-7972
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 54010018 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538175096
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #5086
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 2006
Last updated Apr 22nd, 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 1538175096 NPPES
Illinois MEDICAID 362127039816
Illinois Other 1459658

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