Walgreens #11771

LBN: Walgreen Co
Walgreens #11771 is an health care organization with primary practice located at 42820 Creek View Plz , Ashburn VA 20147-4036. 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) 259-6683, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
42820 Creek View Plz Ashburn VA 20147-4036
Fax: (703) 259-6689
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0201004331 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568793172
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11771
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 21st, 2010
Last updated Oct 30th, 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 1568793172 NPPES
Virginia MEDICAID 1568793172
Virginia Other 4842008
Virginia Other 1568793172

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