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
Phone: (206) 324-2335
Fax: (206) 324-2274
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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