Walgreens #09029

LBN: Walgreen Co.
Walgreens #09029 is an health care organization with primary practice located at 6416 Tampa Ave , Tarzana CA 91335-6647. 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 (818) 776-9014, or through Nielsen, Alan T. via phone (847) 315-3523.

Contact Information

Primary practice address
6416 Tampa Ave Tarzana CA 91335-6647
Phone: (818) 776-9014
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 49846 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538304084
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #09029
Authorized official Nielsen, Alan T.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 12th, 2008
Last updated Oct 7th, 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 1538304084 NPPES
California MEDICAID 1538304084
California Other 5633169

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