Walgreens #10079

LBN: Walgreen Co
Walgreens #10079 is an health care organization with primary practice located at 1171 E. Sherman Blvd. , Norton Shores MI 49444-1809. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (231) 733-8465, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1171 E. Sherman Blvd. Norton Shores MI 49444-1809
Phone: (231) 733-8465
Fax: (231) 739-9308
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1336226935
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10079
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2006
Last updated Nov 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336226935 NPPES
Michigan MEDICAID 2368911
Michigan MEDICAID 4943847 DME

Popular Providers