Walgreens #10581

LBN: Walgreen Co
Walgreens #10581 is an health care organization with primary practice located at 1228 Knox Ave , North Augusta SC 29841-4055. 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 (803) 279-3279, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1228 Knox Ave North Augusta SC 29841-4055
Fax: (803) 279-0871
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 50-009561 South Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1871700922
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10581
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date May 17th, 2007
Last updated Nov 2nd, 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 1871700922 NPPES
South Carolina Other 4226925 NCPDP
South Carolina MEDICAID DE2936 DME NCPDP
South Carolina MEDICAID 715811 NCPDP

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