Rite Aid #11912

LBN: Walgreen Co
Rite Aid #11912 is an health care organization with primary practice located at 1106 N Main St , Crossville TN 38555-4059. 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 (931) 484-4388, or through Nielsen, Alan via phone (847) 315-3523.

Contact Information

Primary practice address
1106 N Main St Crossville TN 38555-4059
Phone: (931) 484-4388
Fax: (931) 456-5192
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Alan
Phone: (847) 315-3523

Health care specialties

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

Profile Details

NPI number 1114443538
LBN Legal business name Walgreen Co
DBA Doing business as Rite Aid #11912
Authorized official Nielsen, Alan
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 17th, 2017
Last updated Nov 20th, 2017 - about 9 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 1114443538 NPPES
Other 4449977 NCPDP

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