Walgreens #12683

LBN: Walgreen Co
Walgreens #12683 is an health care organization with primary practice located at 2870 28Th St , Boulder CO 80301-1224. 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 / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (720) 214-3853, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
2870 28Th St Boulder CO 80301-1224
Phone: (720) 214-3853
Fax: (720) 214-3859
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 PDO-804 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770808909
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12683
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 31st, 2010
Last updated Apr 5th, 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 1770808909 NPPES
Colorado Other 0621715 NCPDP
Colorado MEDICAID 1770808909 NCPDP
Colorado MEDICAID 00205052 NCPDP

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