Walgreens #10799

LBN: Walgreen Co
Walgreens #10799 is an health care organization with primary practice located at 409 S Columbia Ave , Rincon GA 31326-9446. 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 (912) 826-7350, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
409 S Columbia Ave Rincon GA 31326-9446
Phone: (912) 826-7350
Fax: (912) 826-0226
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 PHRE009423 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1720275308
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10799
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2007
Last updated Nov 1st, 2023 - about 3 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 1720275308 NPPES
South Carolina MEDICAID 7G9423
South Carolina MEDICAID 63219570A
South Carolina MEDICAID DE3102
South Carolina MEDICAID 524428100
South Carolina Other 1156290

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