Walgreens #21521

LBN: Walgreen Co.
Walgreens #21521 is an health care organization with primary practice located at 5118 E Interstate 20 Service Rd S , Willow Park TX 76008-2630. 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 (817) 441-5982, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
5118 E Interstate 20 Service Rd S Willow Park TX 76008-2630
Phone: (817) 441-5982
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

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

Profile Details

NPI number 1679250930
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #21521
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2023
Last updated Jan 31st, 2024 - about 11 months 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 1679250930 NPPES
Texas MEDICAID 471405

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