Walgreens #17169

LBN: Walgreen Co
Walgreens #17169 is an health care organization with primary practice located at 710 E Broadway , South Boston MA 02127-1504. 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 (617) 269-5788, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
710 E Broadway South Boston MA 02127-1504
Phone: (617) 269-5788
Fax: (617) 269-4462
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X DS90196 Massachusetts
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356866495
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #17169
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 10th, 2017
Last updated May 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356866495 NPPES
Massachusetts MEDICAID 0403318

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