Walgreens #03104

LBN: Walgreen Co
Walgreens #03104 is an health care organization with primary practice located at 2702 Calumet Ave , Manitowoc WI 54220-5547. 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 (920) 683-8887, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
2702 Calumet Ave Manitowoc WI 54220-5547
Phone: (920) 683-8887
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 7349 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306851456
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #03104
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Jun 14th, 2024 - 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 1306851456 NPPES
Wisconsin MEDICAID 33195900
Wisconsin Other 5121772

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