Walgreens #15814

LBN: Walgreen Co
Walgreens #15814 is an health care organization with primary practice located at 345 Us Highway 51 Byp W , Dyersburg TN 38024-1930. 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 (731) 285-7267, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
345 Us Highway 51 Byp W Dyersburg TN 38024-1930
Phone: (731) 285-7267
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Alan T
Phone: (847) 315-3523

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1261 Tennessee
Suppliers / Pharmacy 333600000X 0000001261 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114000528
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15814
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Mar 7th, 2017 - about 7 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 1114000528 NPPES
Tennessee Other 103G735903 MEDICARE FLU
Tennessee Other 4499927 MEDICARE FLU
Tennessee Other 4428721 MEDICARE FLU
Tennessee Other 1452321 MEDICARE FLU
Tennessee MEDICAID 9449918 MEDICARE FLU

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