Walgreens #10168

LBN: Walgreen Co
Walgreens #10168 is an health care organization with primary practice located at 12550 Us Highway 90 , Grand Bay AL 36541-5609. 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 (251) 865-1429, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
12550 Us Highway 90 Grand Bay AL 36541-5609
Phone: (251) 865-1429
Fax: (251) 865-1478
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 112839 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1598772220
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10168
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Oct 24th, 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 1598772220 NPPES
Mississippi MEDICAID 06452376
Mississippi MEDICAID 100003721
Mississippi Other 0133811

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