Walgreens # 11365

LBN: Walgreen Co
Walgreens # 11365 is an health care organization with primary practice located at 210 American Canyon Rd , American Canyon CA 94503-3004. 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 (707) 557-0103, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
210 American Canyon Rd American Canyon CA 94503-3004
Phone: (707) 557-0103
Fax: (707) 557-0113
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 PHY50722 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1912294364
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens # 11365
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2011
Last updated Jun 19th, 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 1912294364 NPPES
California Other 5641445 NCPDP
California MEDICAID 1912294364 NCPDP

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