Walgreens #12495

LBN: Walgreen Co
Walgreens #12495 is an health care organization with primary practice located at 2707 Greensboro Rd , Martinsville VA 24112-9104. 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 (276) 632-0180, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
2707 Greensboro Rd Martinsville VA 24112-9104
Fax: (276) 632-6759
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0201004249 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1750538195
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12495
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2008
Last updated Apr 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750538195 NPPES
North Carolina MEDICAID 0497812
North Carolina Other 4841032
North Carolina MEDICAID 1750538195

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