Walgreens #10430

LBN: Walgreen Co
Walgreens #10430 is an health care organization with primary practice located at 103 W Central Ave , Petal MS 39465-2313. 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 (601) 554-3236, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
103 W Central Ave Petal MS 39465-2313
Phone: (601) 554-3236
Fax: (601) 554-9781
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 07121/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568562346
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10430
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 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 1568562346 NPPES
Mississippi MEDICAID 09131778

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