Walgreens #10377

LBN: Walgreen Co.
Walgreens #10377 is an health care organization with primary practice located at 1711 N Morley St , Moberly MO 65270-3630. 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 (660) 263-0793, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1711 N Morley St Moberly MO 65270-3630
Phone: (660) 263-0793
Fax: (660) 263-3416
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 2006038598 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1962562058
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #10377
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 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 1962562058 NPPES
Missouri MEDICAID 626301709
Missouri Other 2637152
Missouri MEDICAID 606301703

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