Walgreens #9882

LBN: Walgreen Co.
Walgreens #9882 is an health care organization with primary practice located at 331 N Pacific Coast Hwy , El Segundo CA 90245-4444. 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 (310) 640-9651, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
331 N Pacific Coast Hwy El Segundo CA 90245-4444
Phone: (310) 640-9651
Fax: (310) 414-9942
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 PHY48820 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1174717045
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #9882
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 4th, 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 1174717045 NPPES
California MEDICAID 1174717045
California Other 5628207
California MEDICAID PHA488200

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