WALGREEN CO; NPI #1184148009

Contact Information

WALGREEN CO

2101 FALLSTON RD
FALLSTON, MD 21047

Phone: 410-877-7849
Fax: 410-877-9150
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for WALGREEN CO

NPI # 1184148009

LBN Legal business name WALGREEN CO

Authorized official KIRA TAYLOR - (MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/02/2017

Last updated 06/07/2022 - About 4 years ago

Identifiers

MD	License #	P07817
MD	Medicaid	559917200
MD	Other	2142103	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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