Walgreens #09272

LBN: Walgreen Co
Walgreens #09272 is an health care organization with primary practice located at 1733 Macland Rd Sw , Marietta GA 30064-4109. 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 (770) 499-7021, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1733 Macland Rd Sw Marietta GA 30064-4109
Phone: (770) 499-7021
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 PHRE009023 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1669420030
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09272
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2006
Last updated Jun 10th, 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 1669420030 NPPES
Other 1154070 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 612945086A OTHER ID NUMBER-COMMERCIAL NUMBER

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