Walgreens #11674

LBN: Walgreen Co
Walgreens #11674 is an health care organization with primary practice located at 1849 W Sunset Blvd , St George UT 84770-6508. 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 (435) 879-5165, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1849 W Sunset Blvd St George UT 84770-6508
Fax: (435) 879-5171
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 7207780-1703 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1659518363
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11674
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2009
Last updated Nov 1st, 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 1659518363 NPPES
Utah MEDICAID 1659518363
Utah MEDICAID 428197
Utah Other 4611162

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