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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477508240 | NPPES |
| Missouri | MEDICAID | 620128702 | |
| Missouri | Other | 2612718 | |
| Missouri | MEDICAID | 600128706 |
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