Walgreens #15852

LBN: Walgreen Co
Walgreens #15852 is an health care organization with primary practice located at 1328 Red Wolf Blvd , Jonesboro AR 72401-4578. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (870) 935-2242, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
1328 Red Wolf Blvd Jonesboro AR 72401-4578
Phone: (870) 935-2242
Fax: (870) 930-9487
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X AR20094 Arkansas
Suppliers / Pharmacy 333600000X AR20094 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1710060124
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15852
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jun 5th, 2024 - about 5 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 1710060124 NPPES
Arkansas MEDICAID 133638407
Arkansas Other 0403751
Arkansas Other 135608716

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