Walgreens #10482

LBN: Walgreen Co.
Walgreens #10482 is an health care organization with primary practice located at 7850 West Ln , Stockton CA 95210-3314. 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 (209) 473-9515, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
7850 West Ln Stockton CA 95210-3314
Fax: (209) 473-9521
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY48884 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1396928347
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #10482
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2007
Last updated Oct 27th, 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 1396928347 NPPES
Other 5628928 NCPDP
MEDICAID 1396928347 NCPDP
MEDICAID PHA488840 NCPDP

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