Walgreens #10808

LBN: Walgreen Co
Walgreens #10808 is an health care organization with primary practice located at 100 Rosedale Rd , Silver City NM 88061-8742. 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 (575) 534-0053, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
100 Rosedale Rd Silver City NM 88061-8742
Fax: (575) 534-9684
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH00004093 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1669616942
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10808
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 30th, 2009
Last updated Nov 7th, 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 1669616942 NPPES
New Mexico MEDICAID 35874538
New Mexico Other 3211808
New Mexico Other 35874538

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