Walgreens #11796

LBN: Walgreen Co.
Walgreens #11796 is an health care organization with primary practice located at 220 Richmond Rd N , Berea KY 40403-1319. 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 (859) 986-1494, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
220 Richmond Rd N Berea KY 40403-1319
Phone: (859) 986-1494
Fax: (859) 986-1478
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P07305 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1235386541
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11796
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 19th, 2008
Last updated Feb 10th, 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 1235386541 NPPES
Kentucky MEDICAID 7100062860
Kentucky Other 1830846

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