Walgreens #03594

LBN: Walgreen Co
Walgreens #03594 is an health care organization with primary practice located at 210 State Highway 165 , Branson MO 65616-3464. 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) 339-3996, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
210 State Highway 165 Branson MO 65616-3464
Phone: (417) 339-3996
Fax:
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 5854 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1912912163
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #03594
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Nov 9th, 2023 - about 3 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 1912912163 NPPES
Missouri MEDICAID 608021606
Missouri MEDICAID 100242740D DME
Missouri MEDICAID 152536407
Missouri Other 2630019
Missouri MEDICAID 100242740C
Missouri MEDICAID 0580092
Missouri MEDICAID 628021602 DME

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