Walgreens #09750

LBN: Walgreen Co.
Walgreens #09750 is an health care organization with primary practice located at 1190 Collinsville Crossing Blvd , Collinsville IL 62234-1880. 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 (618) 343-0297, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1190 Collinsville Crossing Blvd Collinsville IL 62234-1880
Fax: (618) 343-1251
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 054.019167 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1366642126
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #09750
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2007
Last updated Nov 3rd, 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 1366642126 NPPES
Other 1481035 NCPDP

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