Walgreens #12776

LBN: Walgreen Co
Walgreens #12776 is an health care organization with primary practice located at 1115 W Washington St , Marquette MI 49855-4001. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (906) 226-1046, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1115 W Washington St Marquette MI 49855-4001
Fax: (906) 226-1443
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 5301009154 Michigan
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1437385143
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12776
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 9th, 2009
Last updated Apr 6th, 2022 - about 2 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 1437385143 NPPES
Michigan MEDICAID 1437385143
Michigan Other 2372869
Michigan Other 1437385143

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