Walgreens #04293

LBN: Walgreen Co
Walgreens #04293 is an health care organization with primary practice located at 734 E Pleasant Run Rd , Desoto TX 75115-4006. The organization recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, 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 (972) 274-2178, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
734 E Pleasant Run Rd Desoto TX 75115-4006
Phone: (972) 274-2178
Fax: (972) 274-1317
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 18630 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1497760458
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #04293
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Feb 20th, 2023 - 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 1497760458 NPPES
Other 4502224 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 464081 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 468981 OTHER ID NUMBER-COMMERCIAL NUMBER

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