Walgreens #12413

LBN: Walgreen Co
Walgreens #12413 is an health care organization with primary practice located at 7525 Sheridan Rd , Kenosha WI 53143. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (262) 652-2396, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
7525 Sheridan Rd Kenosha WI 53143
Phone: (262) 652-2396
Fax: (262) 652-2806
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 8990-042 Wisconsin
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1538497797
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12413
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 30th, 2009
Last updated Jun 19th, 2024 - 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 1538497797 NPPES
Wisconsin Other 5132042 NCPDP

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