Walgreens #04054

LBN: Walgreen Co
Walgreens #04054 is an health care organization with primary practice located at 1050 W Shady Grove Rd , Irving TX 75060-5867. The organization recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, 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 (972) 254-0305, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1050 W Shady Grove Rd Irving TX 75060-5867
Phone: (972) 254-0305
Fax: (972) 254-3047
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 17394 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1730194762
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #04054
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Feb 20th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730194762 NPPES
Other 4598643 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 468983 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 463997 OTHER ID NUMBER-COMMERCIAL NUMBER

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