Walgreens #07423

LBN: Walgreen Co.
Walgreens #07423 is an health care organization with primary practice located at 1210 Sugar Creek Sq , Fenton MO 63026-4401. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co. can be contacted via phone (636) 326-5113, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1210 Sugar Creek Sq Fenton MO 63026-4401
Phone: (636) 326-5113
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Pharmacy 333600000X 2006022586 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1861409765
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #07423
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated May 23rd, 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 1861409765 NPPES
Missouri MEDICAID 626263206
Missouri MEDICAID 606263200
Missouri Other 2636972

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