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Contact Information

WALGREEN CO
2519 KETTERING ST
JANESVILLE, WI53546
 Phone: 608-754-0007
 Fax: 608-754-0594
 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

NPI Profile & details for WALGREEN CO

NPI Number 1528225422
LBN Legal business name WALGREEN CO
Authorized official VIRGINIA GARZA - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/19/2008
Last updated 06/19/2024 - More than a year ago
Identifiers
WI License # 8847-042
WI Medicaid 36228600
WI Other 5130719 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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