Walgreens # 4950

LBN: Walgreen Co
Walgreens # 4950 is an health care organization with primary practice located at 700 E 21St St , Clovis NM 88101-3703. 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 / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (505) 762-3815, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
700 E 21St St Clovis NM 88101-3703
Phone: (505) 762-3815
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 PH00004521 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457366353
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens # 4950
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Apr 21st, 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 1457366353 NPPES
New Mexico MEDICAID 58479
New Mexico MEDICAID 582015
New Mexico Other 3200247
New Mexico MEDICAID 580029

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