Ferguson Drug #15803, Powered By Walgreens

LBN: Walgreen Co
Ferguson Drug #15803, Powered By Walgreens is an health care organization with primary practice located at 101 E Main St , Willow Springs MO 65793-1413. 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 (417) 469-3005, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
101 E Main St Willow Springs MO 65793-1413
Phone: (417) 469-3005
Fax: (417) 469-1239
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2017006074 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477508240
LBN Legal business name Walgreen Co
DBA Doing business as Ferguson Drug #15803, Powered By Walgreens
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2006
Last updated May 3rd, 2022 - about 3 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 1477508240 NPPES
Missouri MEDICAID 620128702
Missouri Other 2612718
Missouri MEDICAID 600128706

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