Walgreens #5894

LBN: Walgreen Co
Walgreens #5894 is an health care organization with primary practice located at 6733 Clayton Rd , Clayton MO 63117-1603. 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 (314) 721-6013, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
6733 Clayton Rd Clayton MO 63117-1603
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 5260 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740295997
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #5894
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated May 2nd, 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 1740295997 NPPES
Oklahoma Other 100245370N DME
Oklahoma MEDICAID 1740295997 DME
Oklahoma Other 031707101 DME
Oklahoma MEDICAID 100245370M DME
Oklahoma Other 2627187 DME
Oklahoma Other 620448407 DME
Oklahoma MEDICAID 031707100 DME
Oklahoma Other 9001167700 DME
Oklahoma MEDICAID 1221325 DME
Oklahoma MEDICAID 0717686 DME
Oklahoma MEDICAID 2655256 DME
Oklahoma MEDICAID 600448401 DME
Oklahoma MEDICAID 735269155A DME

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