Walgreens #10784

LBN: Walgreen Co
Walgreens #10784 is an health care organization with primary practice located at 144 E Main St , Ravenna OH 44266-3130. 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 (330) 298-4297, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
144 E Main St Ravenna OH 44266-3130
Phone: (330) 298-4297
Fax: (330) 298-9185
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 021844100 Ohio
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477728541
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10784
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 29th, 2008
Last updated Nov 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477728541 NPPES
Ohio MEDICAID 2879916
Ohio Other 3676852

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