Walgreens #9102

LBN: Walgreen Co.
Walgreens #9102 is an health care organization with primary practice located at 2271 Balfour Rd , Brentwood CA 94513-4923. 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 (925) 626-3491, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
2271 Balfour Rd Brentwood CA 94513-4923
Phone: (925) 626-3491
Fax:
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 PHY48909 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629254446
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #9102
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 10th, 2008
Last updated Jun 9th, 2022 - about 4 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 1629254446 NPPES
Other 5629172 NCPDP
MEDICAID 1629254446 NCPDP

Popular Providers