Walgreens #15808

LBN: Walgreen Co
Walgreens #15808 is an health care organization with primary practice located at 1405 E Main St , Cushing OK 74023-3041. 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 / Community/Retail Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (918) 225-5233, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1405 E Main St Cushing OK 74023-3041
Phone: (918) 225-5233
Fax: (918) 225-7316
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 83509 Oklahoma
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 83509 Oklahoma

Profile Details

NPI number 1992889653
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15808
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated May 3rd, 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 1992889653 NPPES
Other 3717672 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 3717672 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 400522489 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100241490E OTHER ID NUMBER-COMMERCIAL NUMBER

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