Walgreens #21379

LBN: Walgreen Co
Walgreens #21379 is an health care organization with primary practice located at 5905 Dollarway Rd , Pine Bluff AR 71602-3825. 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 / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (870) 534-7868, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
5905 Dollarway Rd Pine Bluff AR 71602-3825
Phone: (870) 534-7868
Fax: (870) 534-4677
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 AR13930 Arkansas
Suppliers / Pharmacy 333600000X AR13930 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1851475990
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #21379
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated May 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 1851475990 NPPES
Arkansas Other 123697716 MEDICAID DME
Arkansas Other 48624 MEDICAID DME
Arkansas Other 0413930 MEDICAID DME
Arkansas MEDICAID 118502407 MEDICAID DME

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