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Contact Information

WALGREEN CO
1128 S PARK ST
CARROLLTON, GA30117-4450
 Phone: 770-836-0770
 Fax: 770-836-7506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Health Maintenance Organization

302R00000X
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI # 1265562656
LBN Legal business name WALGREEN CO
Authorized official VIRGINIA GARZA - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/06/2007
Last updated 07/30/2024 - More than a year ago
Identifiers
GA License # PHRE007615
Other 1139244 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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