Walgreens #01996

LBN: Walgreen Co.
Walgreens #01996 is an health care organization with primary practice located at 1122 Vaughn Rd , Wood River IL 62095-1848. 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 (618) 259-2013, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1122 Vaughn Rd Wood River IL 62095-1848
Phone: (618) 259-2013
Fax: (618) 259-2098
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 054.019040 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1043264153
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #01996
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2006
Last updated Nov 3rd, 2023 - about last year

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 1043264153 NPPES
Other 1478747 NCPDP

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