Walgreens #04794

LBN: Walgreen Co
Walgreens #04794 is an health care organization with primary practice located at 850 Oak St , Conway AR 72032-4494. 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 (501) 327-5638, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
850 Oak St Conway AR 72032-4494
Phone: (501) 327-5638
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 20160 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1730194093
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #04794
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Apr 13th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730194093 NPPES
Other 0420353 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 135210407 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 157850716 DME OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers