Walgreens #15830
LBN: Walgreen Co
Walgreens #15830 is an health care organization with primary practice located at 1401 E Harding Ave , Pine Bluff AR 71601-6167. 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 / Community/Retail Pharmacy is the primary health care specialty.
Walgreen Co can be contacted via phone (870) 536-7140, or through Sweeten, Alyssa via phone (217) 709-2386.
Contact Information
Primary practice address
1401 E Harding Ave
Pine Bluff AR 71601-6167
Phone: (870) 536-7140
Fax: (870) 536-6513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | AR09676 | Arkansas |
| Suppliers / Pharmacy | 333600000X | AR09676 | Arkansas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1174606586 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #15830 |
| Authorized official | Sweeten, Alyssa |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jun 15th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174606586 | NPPES |
| Arkansas | Other | 10619 | MEDICAID FLU |
| Arkansas | Other | 136452716 | MEDICAID FLU |
| Arkansas | Other | 0409676 | MEDICAID FLU |
| Arkansas | MEDICAID | 100845407 | MEDICAID FLU |
Popular Providers
-
Scpg Arkansas Llc
3006 West 28Th Avenue , Pine Bluff AR 71603 -
Genoa Healthcare Llc
2500 Rike Dr Ste P , Pine Bluff AR 71603-3937 -
Clontz Enterprises Inc
5411 Dollarway Rd , Pine Bluff AR 71602-3907 -
Brookshire Grocery Company
1605 E Harding Ave Attention Pharmacy Dept, Pine Bluff AR 71601-6823 -
Jefferson Regional Medical Center
1600 W 40Th Ave , Pine Bluff AR 71603-6301 -
Walgreen Co
2503 W 28Th Ave , Pine Bluff AR 71603-5053 -
Whitehall Pharmacy Llc
2701 E Harding Ave , Pine Bluff AR 71601-6849 -
Drug Room Inc
1700 W 42Nd Ave , Pine Bluff AR 71603-7008