Walgreens #05103

LBN: Walgreen Co
Walgreens #05103 is an health care organization with primary practice located at 5932 W Cermak Rd , Cicero IL 60804-2137. 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 (708) 863-2730, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
5932 W Cermak Rd Cicero IL 60804-2137
Phone: (708) 863-2730
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 54002454 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770590762
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #05103
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Apr 22nd, 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 1770590762 NPPES
Illinois MEDICAID 362127039103
Illinois Other 1402661

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