Walgreens #10395

LBN: Walgreen Co
Walgreens #10395 is an health care organization with primary practice located at 1610 Nw Louisiana Ave , Chehalis WA 98532-1711. 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 (360) 740-1876, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1610 Nw Louisiana Ave Chehalis WA 98532-1711
Phone: (360) 740-1876
Fax: (360) 740-5763
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X CF00059052 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760698393
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10395
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date May 14th, 2007
Last updated Oct 30th, 2023 - about last year

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 1760698393 NPPES
Other 4932302 NCPDP
MEDICAID 6031280 NCPDP

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