Walgreens #11288

LBN: Walgreen Co
Walgreens #11288 is an health care organization with primary practice located at 1010 Worley Dr , West Plains MO 65775-5257. 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 (417) 255-8880, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1010 Worley Dr West Plains MO 65775-5257
Fax: (417) 255-8886
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2007034174 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1689861023
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11288
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 1st, 2007
Last updated Nov 9th, 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 1689861023 NPPES
Missouri MEDICAID 606343903
Missouri MEDICAID 168518407
Missouri Other 2637683

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