Walgreens # 12775

LBN: Walgreen Co
Walgreens # 12775 is an health care organization with primary practice located at 550 W Dixie Ave , Elizabethtown KY 42701-2468. The organization recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, 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 (270) 982-3088, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
550 W Dixie Ave Elizabethtown KY 42701-2468
Phone: (270) 982-3088
Fax: (270) 982-3096
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P07428 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194028167
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens # 12775
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 2010
Last updated Jun 20th, 2024 - about 6 months 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 1194028167 NPPES
Other 1832181 NCPDP
MEDICAID 7100151440 NCPDP

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