Walgreens #13074

LBN: Walgreen Co
Walgreens #13074 is an health care organization with primary practice located at 900 Illinois Ave , Stevens Point WI 54481-3114. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (715) 344-6834, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
900 Illinois Ave Stevens Point WI 54481-3114
Phone: (715) 344-6834
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 8917 Wisconsin
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1619103157
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #13074
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2009
Last updated Nov 5th, 2015 - about 11 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 1619103157 NPPES
Wisconsin Other 5131610 NCPDP
Wisconsin MEDICAID 1619103157 NCPDP
Wisconsin Other 1619103157 NCPDP

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