Walgreens #10170

LBN: Walgreen Co
Walgreens #10170 is an health care organization with primary practice located at 505 Salem Rd , Conway AR 72034-4815. 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 (501) 328-3117, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
505 Salem Rd Conway AR 72034-4815
Fax: (501) 328-5194
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X AR20547 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1437249661
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10170
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2006
Last updated Oct 25th, 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 1437249661 NPPES
Arkansas MEDICAID 161850407
Arkansas MEDICAID 162362716 DME
Arkansas Other 0422511

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