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Contact Information

WALGREEN CO
975 W SOUTH AIRPORT RD
TRAVERSE CITY, MI49686-4846
 Phone: 231-946-5840
 Fax: 231-946-6293
 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 Number 1578707758
LBN Legal business name WALGREEN CO
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/01/2009
Last updated 04/08/2022 - About 4 years ago
Identifiers
MI License # 5301009127
MI Medicaid 1578707758
MI Other 1578707758 MI-DME
MI Other 2372768 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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