Walgreens #15744

LBN: Walgreen Co
Walgreens #15744 is an health care organization with primary practice located at 16560 W Main St , Louisville MS 39339-2647. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (662) 773-5046, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
16560 W Main St Louisville MS 39339-2647
Phone: (662) 773-5046
Fax: (662) 773-4535
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7917 Mississippi
Suppliers / Pharmacy 333600000X 01389011 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447328240
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15744
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2006
Last updated May 2nd, 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 1447328240 NPPES
Other 2505204 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 00030011 OTHER ID NUMBER-COMMERCIAL NUMBER

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