Walgreens #12818

LBN: Walgreen Co.
Walgreens #12818 is an health care organization with primary practice located at 97 Oak St , Bangor ME 04401-6516. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co. can be contacted via phone (207) 945-0351, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
97 Oak St Bangor ME 04401-6516
Phone: (207) 945-0351
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Alan T
Phone: (847) 315-3523

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH50001389 Maine
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114255049
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #12818
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 4th, 2009
Last updated Jan 13th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114255049 NPPES
Other 2008452 NCPDP
MEDICAID 172260014 NCPDP

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