Rite Aid #11785

LBN: Walgreen Co
Rite Aid #11785 is an health care organization with primary practice located at 708 N Church St , Thomaston GA 30286-3613. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (706) 648-2118, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
708 N Church St Thomaston GA 30286-3613
Phone: (706) 648-2118
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sweeten, Alyssa
Phone: (217) 709-2386

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE010585 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1366961211
LBN Legal business name Walgreen Co
DBA Doing business as Rite Aid #11785
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 12th, 2017
Last updated Apr 26th, 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 1366961211 NPPES
Georgia MEDICAID 000027024A
Georgia Other 1171583

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