Walgreens #15030

LBN: Walgreen Co
Walgreens #15030 is an health care organization with primary practice located at 730 E Grant Rd , Tucson AZ 85719-2931. 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 (520) 323-7667, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
730 E Grant Rd Tucson AZ 85719-2931
Fax:
Website:
Authorized official contact:
Name: Nielsen, Alan T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X YOO627 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417963893
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #15030
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2006
Last updated May 5th, 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 1417963893 NPPES
Other 0303242 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 036287 OTHER ID NUMBER-COMMERCIAL NUMBER

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