Walgreens #11606

LBN: Walgreen Co
Walgreens #11606 is an health care organization with primary practice located at 237 Jefferson Ave. , New London CT 06320. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (860) 443-8439, or through Crawford, Kermit R via phone (847) 914-3154.

Contact Information

Primary practice address
237 Jefferson Ave. New London CT 06320
Phone: (860) 443-8439
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Kermit R
Phone: (847) 914-3154

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1275754566
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11606
Authorized official Crawford, Kermit R
Entity Organization
Organization subpart 1 Yes
Enumeration date May 2nd, 2007
Last updated Jan 14th, 2009 - about 16 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 1275754566 NPPES
Connecticut MEDICAID 004268505 DME
Connecticut MEDICAID 004268539

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