Walgreens #11612

LBN: Walgreen Co.
Walgreens #11612 is an health care organization with primary practice located at 12 W Hanford Armona Rd , Lemoore CA 93245-2320. 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 (559) 925-6510, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
12 W Hanford Armona Rd Lemoore CA 93245-2320
Phone: (559) 925-6510
Fax: (559) 925-6517
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY49282 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1134384290
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11612
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 28th, 2008
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 1134384290 NPPES
Other 5631468 NCPDP
MEDICAID 1134384290 NCPDP

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