Walgreen #10774

LBN: Walgreen Co.
Walgreen #10774 is an health care organization with primary practice located at 11349 W 159Th St. , Orland Park IL 60467-5659. 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 (708) 364-7301, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
11349 W 159Th St. Orland Park IL 60467-5659
Phone: (708) 364-7301
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Alan T
Phone: (847) 315-3523

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 054.019307 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1659561736
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreen #10774
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 26th, 2007
Last updated Jan 6th, 2016 - about 8 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 1659561736 NPPES
Other 1480970 NCPDP

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