Walgreens #02647

LBN: Walgreen Co
Walgreens #02647 is an health care organization with primary practice located at 200 E Broadway Ave , Moses Lake WA 98837-1718. 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 (509) 765-1217, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
200 E Broadway Ave Moses Lake WA 98837-1718
Phone: (509) 765-1217
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X CF60069521 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609016799
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #02647
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 2nd, 2009
Last updated Oct 30th, 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 1609016799 NPPES
Other 4933215 NCPDP
MEDICAID 6032312 NCPDP

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