<Unavail>

LBN: Walgreen Co
<Unavail> is an health care organization with primary practice located at 1500 E Sunshine St Ste 148, Springfield MO 65804-1203. 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 (417) 520-0607, or through Ponce, Jennifer via phone (847) 527-2489.

Contact Information

Primary practice address
1500 E Sunshine St Ste 148 Springfield MO 65804-1203
Phone: (417) 520-0607
Fax: (417) 520-0608
Website:
Map and Directions
Authorized official contact:
Name: Ponce, Jennifer
Phone: (847) 527-2489

Health care specialties

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

Profile Details

NPI number 1871013888
LBN Legal business name Walgreen Co
DBA Doing business as <Unavail>
Authorized official Ponce, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 21st, 2017
Last updated Nov 6th, 2024 - about 2 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 1871013888 NPPES
Missouri Other 2017028222 BOARD OF PHARMACY
Missouri MEDICAID 60047723 BOARD OF PHARMACY
Missouri Other 2644044 BOARD OF PHARMACY

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