Walgreens #12545

LBN: Walgreen Co
Walgreens #12545 is an health care organization with primary practice located at 108 W Wall St , Eagle River WI 54521-9811. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (715) 479-1069, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
108 W Wall St Eagle River WI 54521-9811
Phone: (715) 479-1069
Fax: (715) 479-1370
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 8935-42 Wisconsin
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1952537599
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12545
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2009
Last updated Apr 4th, 2022 - 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 1952537599 NPPES
Wisconsin Other 5131622 NCPDP
Wisconsin MEDICAID 1952537599 NCPDP

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