Walgreens #07502

LBN: Walgreen Co
Walgreens #07502 is an health care organization with primary practice located at 1490 Pleasant Hill Rd , Duluth GA 30096-4674. 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 (770) 921-9976, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1490 Pleasant Hill Rd Duluth GA 30096-4674
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE009393 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1134311384
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #07502
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 13th, 2007
Last updated May 23rd, 2022 - about 2 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 1134311384 NPPES
Georgia MEDICAID 495125888A
Georgia Other 1155969
Georgia Other 495125888B

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