Walgreens #10788

LBN: Walgreen Co
Walgreens #10788 is an health care organization with primary practice located at 1502 N Liberty Lake Rd , Liberty Lake WA 99019-8631. 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 (509) 570-0485, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1502 N Liberty Lake Rd Liberty Lake WA 99019-8631
Fax: (509) 570-0491
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X CF60021723 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376718759
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10788
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 25th, 2008
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 1376718759 NPPES
Idaho MEDICAID 808108600
Idaho Other 4932910
Idaho MEDICAID 6031918

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