Walgreens #11925

LBN: Walgreen Co
Walgreens #11925 is an health care organization with primary practice located at 400 S Broadway , Oak Grove MO 64075-6140. 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 (816) 625-3578, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
400 S Broadway Oak Grove MO 64075-6140
Phone: (816) 625-3578
Fax: (816) 625-3796
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
Suppliers / Community/Retail Pharmacy 3336C0003X 20008030527 Missouri

Profile Details

NPI number 1518120146
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11925
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 3rd, 2008
Last updated Nov 9th, 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 1518120146 NPPES
Missouri Other 2638116 NCPDP
Missouri MEDICAID 606393908 NCPDP

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