Walgreens #04019

LBN: Walgreen Co
Walgreens #04019 is an health care organization with primary practice located at 7455 W Peoria Ave , Peoria AZ 85345-6035. 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 (623) 878-7998, or through Nielsen, Alan T. via phone (847) 315-3523.

Contact Information

Primary practice address
7455 W Peoria Ave Peoria AZ 85345-6035
Phone: (623) 878-7998
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 YO1825 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588679815
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #04019
Authorized official Nielsen, Alan T.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Feb 3rd, 2017 - about 9 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 1588679815 NPPES
Arizona MEDICAID 302505
Arizona Other 0314598

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