Walgreens #09351

LBN: Walgreen Co
Walgreens #09351 is an health care organization with primary practice located at 2527 N Reserve St , Missoula MT 59808-1313. 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 (406) 543-1163, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
2527 N Reserve St Missoula MT 59808-1313
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 1134 Montana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629083662
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09351
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 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 1629083662 NPPES
Other 2782678 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 428214 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 0562241 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1629083662 OTHER ID NUMBER-COMMERCIAL NUMBER

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