Walgreens #10153

LBN: Walgreen Co
Walgreens #10153 is an health care organization with primary practice located at 110 N Westwood Blvd , Poplar Bluff MO 63901-4818. 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 (573) 776-1476, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
110 N Westwood Blvd Poplar Bluff MO 63901-4818
Phone: (573) 776-1476
Fax: (573) 776-7549
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 2006027140 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679676662
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10153
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2006
Last updated Nov 9th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679676662 NPPES
Arkansas MEDICAID 164124716
Arkansas MEDICAID 606266906
Arkansas MEDICAID 626266902
Arkansas Other 2637025

Popular Providers