<Unavail>

LBN: Walgreen Co
<Unavail> is an health care organization with primary practice located at 20 W Pioneer Rd , Fond Du Lac WI 54935-6152. 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 (920) 907-0556, or through Ponce, Jennifer via phone (847) 527-2489.

Contact Information

Primary practice address
20 W Pioneer Rd Fond Du Lac WI 54935-6152
Phone: (920) 907-0556
Fax: (920) 907-0639
Website:
Map and Directions
Authorized official contact:
Name: Ponce, Jennifer
Phone: (847) 527-2489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 8763-042 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1649461252
LBN Legal business name Walgreen Co
DBA Doing business as <Unavail>
Authorized official Ponce, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 8th, 2007
Last updated Oct 10th, 2024 - about 2 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 1649461252 NPPES
Other 5130062 NCPDP
MEDICAID 36220600 NCPDP

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