Community, A Walgreens Pharmacy #16552

LBN: Walgreen Co
Community, A Walgreens Pharmacy #16552 is an health care organization with primary practice located at 628 N New Ballas Rd Ste A, Creve Coeur MO 63141-6714. 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 (314) 813-2160, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
628 N New Ballas Rd Ste A Creve Coeur MO 63141-6714
Fax: (314) 813-2161
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2017010271 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568901650
LBN Legal business name Walgreen Co
DBA Doing business as Community, A Walgreens Pharmacy #16552
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 22nd, 2017
Last updated May 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568901650 NPPES
Missouri Other 2643852 NCPDP
Missouri MEDICAID 600042491 NCPDP

Popular Providers