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Contact Information

WALGREEN CO
801 W JOE HARVEY BLVD
HOBBS, NM88240-0815
 Phone: 575-392-0053
 Fax: 575-392-0097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI # 1114255775
LBN Legal business name WALGREEN CO
Authorized official JENNIFER PONCE - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/19/2009
Last updated 08/07/2025 - About 10 months ago
Identifiers
NM License # PH00004103
NM Medicaid 70882827
TX Medicaid 580117
TX Medicaid 582024
NM Other 3211935 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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