Walgreens #05309

LBN: Walgreen Co
Walgreens #05309 is an health care organization with primary practice located at 1441 Capitol Dr , Pewaukee WI 53072-2579. 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) 695-3088, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
1441 Capitol Dr Pewaukee WI 53072-2579
Phone: (262) 695-3088
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 7859 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1992710057
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #05309
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Jun 14th, 2024 - about 6 months 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 1992710057 NPPES
Other 5124780 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33238400 OTHER ID NUMBER-COMMERCIAL NUMBER

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