Walgreens #05636

LBN: Walgreen Co
Walgreens #05636 is an health care organization with primary practice located at 230 Madison St , Waukesha WI 53188-5148. 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 (262) 542-9935, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
230 Madison St Waukesha WI 53188-5148
Phone: (262) 542-9935
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 7930 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1891702775
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #05636
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jun 14th, 2024 - 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 1891702775 NPPES
Wisconsin MEDICAID 33013100
Wisconsin Other 5114183

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