Walgreens #11494

LBN: Walgreen Co
Walgreens #11494 is an health care organization with primary practice located at 124 E North St , Kendallville IN 46755-1124. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (260) 349-1530, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
124 E North St Kendallville IN 46755-1124
Phone: (260) 349-1530
Fax: (260) 349-1936
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Clinic Pharmacy 3336C0002X 60006182A Indiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417101247
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11494
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 6th, 2008
Last updated Nov 6th, 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 1417101247 NPPES
Indiana Other 1562443 NCPDP
Indiana MEDICAID 200933480A NCPDP

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