Walgreens #21373

LBN: Walgreen Co
Walgreens #21373 is an health care organization with primary practice located at 4100 Dale Earnhardt Way Ste 200 , Northlake TX 76262-2389. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (817) 859-1400, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
4100 Dale Earnhardt Way Ste 200 Northlake TX 76262-2389
Phone: (817) 859-1400
Fax:
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
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1366028995
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #21373
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 23rd, 2021
Last updated Oct 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366028995 NPPES
Texas Other 5933684 NCPDP

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