Walgreens #10835

LBN: Walgreen Co.
Walgreens #10835 is an health care organization with primary practice located at 906 Marion Ave. , Mccomb MS 39648-2040. 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 (601) 684-7976, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
906 Marion Ave. Mccomb MS 39648-2040
Fax: (601) 684-5372
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0743901.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558552729
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #10835
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 5th, 2007
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 1558552729 NPPES
Other 2586951 NCPDP
Other 09106315 NCPDP
MEDICAID 02628368 NCPDP

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