Walgreens #13854
LBN: Walgreen Co
Walgreens #13854 is an health care organization with primary practice located at 1103 N Breazeale Ave , Mount Olive NC 28365. 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 (919) 658-8510, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
1103 N Breazeale Ave
Mount Olive NC 28365
Phone: (919) 658-8510
Fax: (919) 658-9582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 11038 | North Carolina |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1356633531 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #13854 |
| Authorized official | Taylor, Kira |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 6th, 2011 |
| Last updated | Apr 13th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356633531 | NPPES |
| North Carolina | Other | 3458848 | NCPDP |
| North Carolina | MEDICAID | 0965790 | NCPDP |
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