Walgreens #11166

LBN: Walgreen Co
Walgreens #11166 is an health care organization with primary practice located at 18 College Ave , Elberton GA 30635-1740. 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 (706) 283-8228, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
18 College Ave Elberton GA 30635-1740
Phone: (706) 283-8228
Fax: (706) 283-8295
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 PHRE009437 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578743043
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11166
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 13th, 2007
Last updated Nov 1st, 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 1578743043 NPPES
Other 1156579 NCPDP
MEDICAID 7G9437 NCPDP

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