Rite Aid #11717

LBN: Walgreen Co
Rite Aid #11717 is an health care organization with primary practice located at 2833 Canton Rd , Marietta GA 30066-5439. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (770) 425-1215, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
2833 Canton Rd Marietta GA 30066-5439
Phone: (770) 425-1215
Fax: (770) 792-7137
Website:
Map and Directions
Authorized official contact:
Name: Sweeten, Alyssa
Phone: (217) 709-2386

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Suppliers / Pharmacy 333600000X PHRE010521 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1245753052
LBN Legal business name Walgreen Co
DBA Doing business as Rite Aid #11717
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 24th, 2017
Last updated Apr 30th, 2018 - about 8 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 1245753052 NPPES
Georgia Other 1171165 NCPDP
Georgia MEDICAID 000301683A NCPDP

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