Walgreens #05435

LBN: Walgreen Co
Walgreens #05435 is an health care organization with primary practice located at 3100 Miller Ave , Fort Worth TX 76105-5049. 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 (817) 536-4593, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
3100 Miller Ave Fort Worth TX 76105-5049
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

Profile Details

NPI number 1841205812
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #05435
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Feb 13th, 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 1841205812 NPPES
Michigan MEDICAID 1841205812
Michigan Other 4509103
Michigan MEDICAID 464339
Michigan MEDICAID 468904

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