Walgreens #17146

LBN: Walgreen Co
Walgreens #17146 is an health care organization with primary practice located at 11349 State Hwy 1056 , Mc Carr KY 41544. 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 (217) 709-2386, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
11349 State Hwy 1056 Mc Carr KY 41544
Phone: (217) 709-2386
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1992228266
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #17146
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2017
Last updated Mar 9th, 2020 - about 6 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 1992228266 NPPES
Kentucky MEDICAID 7100508030
Kentucky Other PO7954

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