Walgreens #09073

LBN: Walgreen Co
Walgreens #09073 is an health care organization with primary practice located at 20200 Van Aken Blvd , Shaker Heights OH 44122-3623. 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 (216) 751-4521, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
20200 Van Aken Blvd Shaker Heights OH 44122-3623
Phone: (216) 751-4521
Fax:
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 / Pharmacy 333600000X 02-1606550 Ohio
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417976655
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09073
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jun 9th, 2022 - about 3 years ago

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 1417976655 NPPES
Other 3674757 NCPDP
MEDICAID 2683903 NCPDP

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