Walgreens #11892
LBN: Walgreen Co
Walgreens #11892 is an health care organization with primary practice located at 1114 Brawley School Rd , Mooresville NC 28117-5937. 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 (704) 696-2583, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
1114 Brawley School Rd
Mooresville NC 28117-5937
Phone: (704) 696-2583
Fax: (704) 696-2597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 10332 | North Carolina |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1114156510 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #11892 |
| Authorized official | Taylor, Kira |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 7th, 2009 |
| Last updated | Nov 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114156510 | NPPES |
| North Carolina | MEDICAID | 0497863 | |
| North Carolina | Other | 3415963 |
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