Walgreens #12927

LBN: Walgreen Co
Walgreens #12927 is an health care organization with primary practice located at 2340 Hampton Ave , Saint Louis MO 63139-2935. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (314) 647-1256, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
2340 Hampton Ave Saint Louis MO 63139-2935
Fax: (314) 644-0924
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2009007931 Missouri
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1972748226
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12927
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2008
Last updated Apr 8th, 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 1972748226 NPPES
Missouri Other 2638368 NCPDP
Missouri MEDICAID 606414605 NCPDP

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