Walgreens #15793

LBN: Walgreen Co
Walgreens #15793 is an health care organization with primary practice located at 803 Highway 71 N , Mena AR 71953-4367. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (479) 394-5144, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
803 Highway 71 N Mena AR 71953-4367
Phone: (479) 394-5144
Fax: (479) 394-2167
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X AR20069 Arkansas
Suppliers / Oxygen Equipment & Supplies 332BX2000X AR20069 Arkansas
Suppliers / Pharmacy 333600000X AR20069 Arkansas
Suppliers / Pharmacy 333600000X 88S1330 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639157092
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15793
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2006
Last updated May 3rd, 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 1639157092 NPPES
Oklahoma MEDICAID 100247420C
Oklahoma MEDICAID 133195407

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