Walgreens #03212

LBN: Walgreen Co
Walgreens #03212 is an health care organization with primary practice located at 842 E Main St , Danville IL 61832. 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) 446-1215, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
842 E Main St Danville IL 61832
Fax: (217) 446-1401
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 54011910 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1073529541
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #03212
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 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 1073529541 NPPES
Indiana MEDICAID 200025170A
Indiana Other 1464990
Indiana MEDICAID 362127039167

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