Walgreen #09402 is an authorized DME supplier for medicare equipments and products.
Walgreen #09402 is a Pharmacy in Vicksburg, Mississippi. This pharmacy is owned and operated by Walgreen Co. This organization is also known as sub part of Walgreens Boots Alliance Inc. It is located at 3341 Halls Ferry Rd, Vicksburg and it's customer support contact number is 601-661-9340. The authorized person of Walgreen #09402 is Kira L Taylor who is Manager of the pharmacy and his contact number is 217-709-2351. Active license number of Walgreen #09402 is 06665012 for Pharmacy in Mississippi. Walgreen #09402 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Walgreen #09402 is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Walgreen #09402 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kira L Taylor
Position:
Manager
Contact Number:
217-709-2351
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1275548430
Parent Organization:
Walgreens Boots Alliance Inc
NPI Enumeration Date:
29 Jul, 2006
NPI Last Update On:
13 Jun, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walgreen #09402 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
06665012
Mississippi
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01678557
Medicaid
Mississippi
2586103
Other
Other Id Number-commercial Number
1202916
Medicaid
Louisiana
Medicare Enrollment:
Walgreen #09402 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0941278253
O20100930085820
Walgreen Co
DME SUPPLIER - PHARMACY
Products Available:
Walgreen #09402 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1901 E Voorhees St, Mail Stop 790 Danville, Illinois
Zip:
61834-4509
Phone Number:
217-709-2351
Fax Number:
217-709-2344
Patients can reach Walgreen #09402 at 3341 Halls Ferry Rd, Vicksburg, Mississippi or can call on customer care at 601-661-9340.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Other Pharmacies in Vicksburg, Mississippi
Kroger Pharmacy Address: 3405 Pemberton Square Blvd, Vicksburg, MS Phone: 601-638-3412 Fax: 601-638-3628United Medical Address: 2480 S Frontage Rd, Ste F, Vicksburg, MS Phone: 601-636-0505 Fax: 601-636-9996Kroger Pharmacy Address: 3408 Pemberton Square Blvd, Vicksburg, MS Phone: 601-630-4003 Fax: 601-630-4004Walgreens #17030 Address: 2310 Clay St, Vicksburg, MS Phone: 601-661-5856 Fax: 601-661-0645Rite Aid Address: 3046 Indiana Ave, Vicksburg, MS Phone: 217-709-2386