Walgreens #19690

LBN: Walgreen Co
Walgreens #19690 is an health care organization with primary practice located at 1216 North St , Bayonne NJ 07002-1241. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Dialysis Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (201) 436-6268, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
1216 North St Bayonne NJ 07002-1241
Phone: (201) 436-6268
Fax: (201) 436-1078
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Dialysis Equipment & Supplies 332BD1200X
Suppliers / Pharmacy 333600000X 28RS00507300 New Jersey
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1184148884
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #19690
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2017
Last updated Jun 9th, 2022 - about 4 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 1184148884 NPPES
New Jersey Other 3153917 NCPDP
New Jersey MEDICAID 0611581 NCPDP

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