Walgreens #09013
LBN: Walgreen Co
Walgreens #09013 is an health care organization with primary practice located at 1065 Stateline Rd W , Southaven MS 38671-1425. 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 (662) 393-8527, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
1065 Stateline Rd W
Southaven MS 38671-1425
Phone: (662) 393-8527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 06331012 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1972519445 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #09013 |
| Authorized official | Taylor, Kira L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 8th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972519445 | NPPES |
| Other | 2521943 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 07127574 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Popular Providers
-
Southern Home Care
8865 First Industrial Dr , Southaven MS 38671-1919 -
Mississippi Cvs Pharmacy, L.L.C.
55 Goodman Rd W , Southaven MS 38671-9447 -
Pharmcare Usa Of Memphis, Inc
3449 Cobblestone Blvd. S , Southaven MS 38672-7075 -
Complete Diabetes Pharmacy Care Inc
7165 Swinnea Rd Bldg B-2, Southaven MS 38671-6360 -
Mississippi Cvs Pharmacy, L.L.C.
2945 Goodman Road East , Southaven MS 38672 -
Mississippi Cvs Pharmacy, L.L.C.
2955 Church Rd E , Southaven MS 38671-9767 -
Sams East Inc
465 Goodman Rd E , Southaven MS 38671-9525 -
Walgreen Co
35 Stateline Rd W , Southaven MS 38671-1705