Walgreens #09433

LBN: Walgreen Co
Walgreens #09433 is an health care organization with primary practice located at 3752 Mission Ave , Oceanside CA 92058-1417. 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 (760) 722-9409, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
3752 Mission Ave Oceanside CA 92058-1417
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY486280 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629285382
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #09433
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2007
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 1629285382 NPPES
California MEDICAID 1629285382
California Other 5626861
California MEDICAID PHA486280

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