Walgreens #15805
LBN: Walgreen Co
Walgreens #15805 is an health care organization with primary practice located at 738 S Gloster St , Tupelo MS 38801-4932. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Walgreen Co can be contacted via phone (662) 844-0432, or through Nielsen, Alan T via phone (847) 315-3523.
Contact Information
Primary practice address
738 S Gloster St
Tupelo MS 38801-4932
Phone: (662) 844-0432
Fax: (662) 844-9853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 01443012 | Mississippi |
| Suppliers / Pharmacy | 333600000X | 01443/01.2 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1497838015 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #15805 |
| Authorized official | Nielsen, Alan T |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Mar 16th, 2017 - about 7 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 | 1497838015 | NPPES |
| Mississippi | MEDICAID | 00330366 | |
| Mississippi | Other | 870001323 | |
| Mississippi | Other | 01443012 | |
| Mississippi | MEDICAID | 330366 | |
| Mississippi | Other | 2511714 |
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