Walgreens #11852

LBN: Walgreen Co
Walgreens #11852 is an health care organization with primary practice located at 1751 Tiny Town Road , Clarksville TN 37042-7632. 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 (931) 552-7464, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1751 Tiny Town Road Clarksville TN 37042-7632
Phone: (931) 552-7464
Fax: (931) 522-4204
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 4522 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376701789
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11852
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Nov 1st, 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 1376701789 NPPES
Other 4441349 NCPDP
MEDICAID 7100400890 NCPDP

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