Walgreens #11576

LBN: Walgreen Co
Walgreens #11576 is an health care organization with primary practice located at 1979 Lime Kiln Rd , Bellevue WI 54311-6219. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (920) 288-0638, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1979 Lime Kiln Rd Bellevue WI 54311-6219
Phone: (920) 288-0638
Fax: (920) 288-0645
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 8801-042 Wisconsin
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1164603403
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11576
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 15th, 2007
Last updated Oct 30th, 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 1164603403 NPPES
Wisconsin MEDICAID 36223300
Wisconsin Other 5130290

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