Walgreens #11055

LBN: Walgreen Co.
Walgreens #11055 is an health care organization with primary practice located at 4465 Summit Bridge Rd , Middletown DE 19709-9549. 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 (302) 376-1600, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
4465 Summit Bridge Rd Middletown DE 19709-9549
Fax: (302) 378-9487
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X A3-0000832 Delaware

Profile Details

NPI number 1366461444
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11055
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2006
Last updated Oct 30th, 2023 - about last year

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 1366461444 NPPES
Delaware MEDICAID 0001120907
Delaware Other 0803898

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