Walgreens #12800

LBN: Walgreen Co
Walgreens #12800 is an health care organization with primary practice located at 8414 Old Keene Mill Rd Unit A , Springfield VA 22152-2302. 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 (703) 913-6712, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
8414 Old Keene Mill Rd Unit A Springfield VA 22152-2302
Fax: (703) 913-6718
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0201004303 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1225267693
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12800
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2009
Last updated Apr 6th, 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 1225267693 NPPES
Virginia Other 1225267693 VA DME
Virginia MEDICAID 1225267693 VA DME
Virginia Other 4841741 VA DME

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