Walgreens #11327

LBN: Walgreen Co
Walgreens #11327 is an health care organization with primary practice located at 450 Ken Pratt Blvd , Longmont CO 80501-8522. 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 / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (303) 532-3488, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
450 Ken Pratt Blvd Longmont CO 80501-8522
Fax: (303) 532-3494
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 751 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578710539
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11327
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2008
Last updated Oct 27th, 2023 - 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 1578710539 NPPES
Colorado Other 0620977 NCPDP
Colorado MEDICAID 92876251 NCPDP

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