Walgreens #11057

LBN: Walgreen Co
Walgreens #11057 is an health care organization with primary practice located at 2440 Centreville Rd , Centreville MD 21617-2802. 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 (443) 262-9640, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
2440 Centreville Rd Centreville MD 21617-2802
Phone: (443) 262-9640
Fax: (443) 262-9648
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P04508 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1962428425
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11057
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2006
Last updated Nov 7th, 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 1962428425 NPPES
Maryland Other 300262400 DME
Maryland MEDICAID 842501900 DME
Maryland Other 2125830 DME

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