Walgreens#10617

LBN: Walgreen Co
Walgreens#10617 is an health care organization with primary practice located at 615 King St , Alexandria VA 22314-3105. 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 (703) 837-8691, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
615 King St Alexandria VA 22314-3105
Phone: (703) 837-8691
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 0201004204 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1215123096
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens#10617
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 14th, 2007
Last updated Jan 6th, 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 1215123096 NPPES
Virginia MEDICAID 1215123096
Virginia Other 4840472
Virginia MEDICAID 1215123096 DME

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