Walgreens #19402

LBN: Walgreen Co
Walgreens #19402 is an health care organization with primary practice located at 6430 Kirkville Rd Ste 5 , East Syracuse NY 13057-2056. 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 (315) 437-7305, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
6430 Kirkville Rd Ste 5 East Syracuse NY 13057-2056
Phone: (315) 437-7305
Fax: (315) 438-4414
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 036181 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760906556
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #19402
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2017
Last updated Jun 8th, 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 1760906556 NPPES
New York Other 5822603 NCPDP
New York MEDICAID 05075934 NCPDP

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