Walgreens #09376

LBN: Walgreen Co
Walgreens #09376 is an health care organization with primary practice located at 1445 S Main St , Ottawa KS 66067-3528. 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 (785) 242-4745, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1445 S Main St Ottawa KS 66067-3528
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2-13144 Kansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629023882
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09376
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2006
Last updated Jun 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629023882 NPPES
Kansas MEDICAID 100432190L
Kansas Other 1718672
Kansas MEDICAID 100432190M DME

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