Walgreens #02558

LBN: Walgreen Co
Walgreens #02558 is an health care organization with primary practice located at 14700 Halsted St , Harvey IL 60426-1921. 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 (708) 333-3572, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
14700 Halsted St Harvey IL 60426-1921
Fax: (708) 333-5652
Website:
Authorized official contact:
Name: Nielsen, Alan T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 54011042 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356357818
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #02558
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 2006
Last updated Feb 21st, 2017 - about 7 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 1356357818 NPPES
Other 1460346 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 362127039356 OTHER ID NUMBER-COMMERCIAL NUMBER

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