Walgreens #11432

LBN: Walgreen Co.
Walgreens #11432 is an health care organization with primary practice located at 4380 Jefferson Davis Hwy , Beech Island SC 29842-4864. 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 (803) 593-5506, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
4380 Jefferson Davis Hwy Beech Island SC 29842-4864
Phone: (803) 593-5506
Fax: (803) 593-8210
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 50-09988 South Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1093988214
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11432
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 9th, 2008
Last updated Nov 2nd, 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 1093988214 NPPES
South Carolina Other 4227674 NCPDP
South Carolina Other 759879381B NCPDP
South Carolina MEDICAID DE3128 DME NCPDP
South Carolina MEDICAID 715729 NCPDP
South Carolina MEDICAID 759879381A NCPDP

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