Walgreens #13702

LBN: Walgreen Co.
Walgreens #13702 is an health care organization with primary practice located at 397 Route 46 W , Fairfield NJ 07004-1967. 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 (862) 210-3980, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
397 Route 46 W Fairfield NJ 07004-1967
Phone: (862) 210-3980
Fax: (862) 210-3736
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 28RS00692100 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629210687
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #13702
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 6th, 2009
Last updated Apr 12th, 2022 - about 3 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 1629210687 NPPES
Other 3195787 NCPDP
MEDICAID 0210994 NCPDP

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