Walgreens #11977

LBN: Walgreen Co
Walgreens #11977 is an health care organization with primary practice located at 6414 Us Route 60 E , Barboursville WV 25504-1240. 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 (304) 736-0528, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
6414 Us Route 60 E Barboursville WV 25504-1240
Fax: (304) 736-0960
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X MP0552388 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285964569
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11977
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2010
Last updated Oct 30th, 2023 - 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 1285964569 NPPES
Ohio MEDICAID 3051165
Ohio MEDICAID 3810017573
Ohio MEDICAID 7100355060
Ohio Other 5055149

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