Walgreens #07718
LBN: Walgreen Co
Walgreens #07718 is an health care organization with primary practice located at 4007 N Shiloh Dr , Fayetteville AR 72703-5300. 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 (479) 442-4756, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
4007 N Shiloh Dr
Fayetteville AR 72703-5300
Phone: (479) 442-4756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 20388 | Arkansas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1215943964 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #07718 |
| Authorized official | Taylor, Kira L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215943964 | NPPES |
| Other | 0422042 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 154500407 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 158208716 DME | OTHER ID NUMBER-COMMERCIAL NUMBER |
Popular Providers
-
Walgreen Co
2750 E Mission Blvd , Fayetteville AR 72703-3262 -
Walmart Inc.
3919 N Mall Ave , Fayetteville AR 72703-4906 -
R & R Medical Inc
2515 E Huntsville Rd , Fayetteville AR 72701-7329 -
Walgreen Co
2964 W Martin Luther King Blvd , Fayetteville AR 72704-7682 -
Arkansas Cvs Pharmacy Llc
3545 N Shiloh Dr , Fayetteville AR 72703-5359 -
Walmart Inc.
2875 W Martin Luther King Blvd , Fayetteville AR 72704-7625 -
Walgreen Co
300 E Township St , Fayetteville AR 72703-3441 -
Nic-Hil Inc
2818 W Martin Luther King Blvd , Fayetteville AR 72704-7625