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Contact Information

WALGREEN CO
46965 CEDAR LAKE PLZ
STERLING, VA20164-8653
 Phone: 703-430-3328
 Fax: 703-430-8203
 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
 

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 1902324353
LBN Legal business name WALGREEN CO
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/06/2017
Last updated 06/06/2022 - About 4 years ago
Identifiers
VA License # 0201003569
VA Medicaid 1902324353
Other 4848973 NCPDP
VA Other 0201003569 BOARD OF PHARMACY
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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