Walgreens #17200

LBN: Walgreen Co
Walgreens #17200 is an health care organization with primary practice located at 20800 Great Falls Plz , Sterling VA 20165-2464. 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 (703) 421-4020, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
20800 Great Falls Plz Sterling VA 20165-2464
Fax: (703) 421-2809
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0201003353 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1528583572
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #17200
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 11th, 2017
Last updated May 11th, 2022 - 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 1528583572 NPPES
Virginia Other 0201003353 BOARD OF PHARMACY
Virginia Other 4848997 BOARD OF PHARMACY
Virginia MEDICAID 1528583572 BOARD OF PHARMACY

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