Walgreens #07619

LBN: Walgreen Co
Walgreens #07619 is an health care organization with primary practice located at 21400 Timberlake Rd , Lynchburg VA 24502-7235. 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 (434) 239-5750, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
21400 Timberlake Rd Lynchburg VA 24502-7235
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 201003987 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1093722043
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #07619
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jun 3rd, 2022 - about 2 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 1093722043 NPPES
Virginia MEDICAID 010090075 DME
Virginia Other 4838225
Virginia MEDICAID 010091021

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