Walgreens #11440

LBN: Walgreen Co.
Walgreens #11440 is an health care organization with primary practice located at 2331 S Atlantic Blvd , Monterey Park CA 91754-6805. 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 (323) 526-9102, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
2331 S Atlantic Blvd Monterey Park CA 91754-6805
Fax: (323) 526-9882
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY 48661 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124226121
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11440
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 11th, 2007
Last updated Oct 27th, 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 1124226121 NPPES
Other 5627572 NCPDP
MEDICAID PHA486610 NCPDP
MEDICAID 1124226121 NCPDP

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