Community A Walgreens Pharmacy #16403

LBN: Walgreen Co
Community A Walgreens Pharmacy #16403 is an health care organization with primary practice located at 1409 11Th Ave , Seattle WA 98122-3901. 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 (206) 324-2335, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
1409 11Th Ave Seattle WA 98122-3901
Fax: (206) 324-2274
Website:
Authorized official contact:
Name: Garza, Virginia

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X CF60630669 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124391644
LBN Legal business name Walgreen Co
DBA Doing business as Community A Walgreens Pharmacy #16403
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 14th, 2012
Last updated Jun 20th, 2024 - about 2 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 1124391644 NPPES
Idaho MEDICAID 1124391644
Idaho MEDICAID 1029083
Idaho MEDICAID 1044372
Idaho MEDICAID 1124391644
Idaho MEDICAID 1124391644
Idaho Other 4934457

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