Walgreens #09631

LBN: Walgreen Co
Walgreens #09631 is an health care organization with primary practice located at 101 E Reynolds Rd , Lexington KY 40517-1249. 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 (859) 272-0476, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
101 E Reynolds Rd Lexington KY 40517-1249
Fax: (859) 272-0780
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P07122 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124072772
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09631
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124072772 NPPES
Kentucky MEDICAID 1124072772
Kentucky MEDICAID 9001309500 DME
Kentucky Other 1829499

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