Walgreens #09512

LBN: Walgreen Co
Walgreens #09512 is an health care organization with primary practice located at 1125 N Lacrosse St , Rapid City SD 57701-6954. 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 (605) 348-3265, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1125 N Lacrosse St Rapid City SD 57701-6954
Fax: (605) 348-2808
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 100-1918 South Dakota
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1437266483
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09512
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 24th, 2006
Last updated Nov 2nd, 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 1437266483 NPPES
South Dakota Other 4353950 NCPDP
South Dakota MEDICAID 8504390 NCPDP

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