Walgreens #15714

LBN: Walgreen Co
Walgreens #15714 is an health care organization with primary practice located at 500 S University Ave , Little Rock AR 72205-5302. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (501) 664-4121, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
500 S University Ave Little Rock AR 72205-5302
Phone: (501) 664-4121
Fax: (501) 661-9831
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 AR20067 Arkansas
Suppliers / Pharmacy 333600000X AR20067 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1639252257
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15714
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2006
Last updated May 2nd, 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 1639252257 NPPES
Other 0401062 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 135621716 OTHER ID NUMBER-COMMERCIAL NUMBER
Other P00335262 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 10615 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 133325407 OTHER ID NUMBER-COMMERCIAL NUMBER

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