Walgreens #11168

LBN: Walgreen Co.
Walgreens #11168 is an health care organization with primary practice located at 485 W 4Th St , Russellville KY 42276-1324. The organization recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, 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 (270) 726-1881, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
485 W 4Th St Russellville KY 42276-1324
Phone: (270) 726-1881
Fax: (270) 726-1870
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P07270 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609048206
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11168
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 24th, 2008
Last updated Feb 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609048206 NPPES
Kentucky MEDICAID 7100047360
Kentucky Other 1830632

Popular Providers