Walgreens #12345

LBN: Walgreen Co
Walgreens #12345 is an health care organization with primary practice located at 1045 Robbins Rd , Grand Haven MI 49417-2646. 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 (616) 844-0367, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1045 Robbins Rd Grand Haven MI 49417-2646
Phone: (616) 844-0367
Fax: (616) 844-0981
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 5301009388 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194046722
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12345
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2010
Last updated Apr 1st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194046722 NPPES
Michigan Other 1194046722 MEDICAID DME
Michigan MEDICAID 1194046722 MEDICAID DME
Michigan Other 2374166 MEDICAID DME

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