Walgreens #11704
LBN: Walgreen Co
Walgreens #11704 is an health care organization with primary practice located at 5301 Summerville Rd , Phenix City AL 36867-7423. 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 (334) 297-3061, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
5301 Summerville Rd
Phenix City AL 36867-7423
Phone: (334) 297-3061
Fax: (334) 297-0193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 113201 | Alabama |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1457508509 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #11704 |
| Authorized official | Taylor, Kira L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457508509 | NPPES |
| Georgia | MEDICAID | 445856671A | |
| Georgia | Other | 0135613 | |
| Georgia | MEDICAID | 1457508509 |
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