Wiggins Family Pharmacy
LBN: Walgreen Co.
Wiggins Family Pharmacy is an health care organization with primary practice located at 1128 S Park St , Carrollton GA 30117-4450. The organization recently has 4 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Walgreen Co. can be contacted via phone (770) 836-0770, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
1128 S Park St
Carrollton GA 30117-4450
Phone: (770) 836-0770
Fax: (770) 836-7506
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Health Maintenance Organization | 302R00000X | PHRE007615 | Georgia |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | PHRE007615 | Georgia |
Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
NPI number | 1265562656 |
---|---|
LBN Legal business name | Walgreen Co. |
DBA Doing business as | Wiggins Family Pharmacy |
Authorized official | Taylor, Kira |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Mar 6th, 2007 |
Last updated | Apr 8th, 2022 - about 3 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 | 1265562656 | NPPES |
Other | 1139244 | NCPDP |
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