Walgreen #10142

LBN: Walgreen Co
Walgreen #10142 is an health care organization with primary practice located at 460 W Felicita Ave , Escondido CA 92025-6518. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (760) 735-6025, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
460 W Felicita Ave Escondido CA 92025-6518
Fax: (760) 735-6030
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1588751945
LBN Legal business name Walgreen Co
DBA Doing business as Walgreen #10142
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2006
Last updated Oct 26th, 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 1588751945 NPPES
California MEDICAID PHA482230
California Other 5623625
California MEDICAID 1588751945

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