Walgreens #03598

LBN: Walgreen Co
Walgreens #03598 is an health care organization with primary practice located at 2001 S Main St , Joplin MO 64804-2045. 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) 626-7878, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
2001 S Main St Joplin MO 64804-2045
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 5928 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558376707
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #03598
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Nov 9th, 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 1558376707 NPPES
Iowa MEDICAID 0565457
Iowa MEDICAID 100246980A
Iowa MEDICAID 100455820B DME
Iowa Other 2630336
Iowa MEDICAID 100246980B DME
Iowa MEDICAID 100455820A
Iowa MEDICAID 608178703
Iowa MEDICAID 628178709 DME

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