Community, A Walgreens Pharmacy #16475

LBN: Walgreen Co
Community, A Walgreens Pharmacy #16475 is an health care organization with primary practice located at 555 Michigan St Ne Ste 100 , Grand Rapids MI 49503-5753. 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 (616) 224-0115, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
555 Michigan St Ne Ste 100 Grand Rapids MI 49503-5753
Phone: (616) 224-0115
Fax: (616) 224-0117
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 5301010988 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1649723263
LBN Legal business name Walgreen Co
DBA Doing business as Community, A Walgreens Pharmacy #16475
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 2016
Last updated May 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649723263 NPPES
Michigan Other 2382288 NCPDP
Michigan MEDICAID 1649723263 NCPDP

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