Walgreens #04510
LBN: Walgreen Co
Walgreens #04510 is an health care organization with primary practice located at 4221 E Main St , Farmington NM 87402-8637. 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 (505) 325-1749, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
4221 E Main St
Farmington NM 87402-8637
Phone: (505) 325-1749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PH00004082 | New Mexico |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1710993118 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #04510 |
| Authorized official | Taylor, Kira L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 5th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710993118 | NPPES |
| Other | 3209358 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 60749 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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