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Contact Information

WALGREEN CO
101 W FM 495
SAN JUAN, TX78589-3722
 Phone: 956-787-1830
 Fax: 956-787-1696
 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
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI Number 1366725046
LBN Legal business name WALGREEN CO
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/20/2011
Last updated 02/23/2023 - About 3 years ago
Identifiers
TX License # 27636
TX Medicaid 466780
TX Medicaid 468593
TX Other 5904114 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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