Walgreens #10108

LBN: Walgreen Co
Walgreens #10108 is an health care organization with primary practice located at 17 Crystal Ave , Derry NH 03038-2415. 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 (603) 434-1853, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
17 Crystal Ave Derry NH 03038-2415
Phone: (603) 434-1853
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 0694-P New Hampshire
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639384894
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10108
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2007
Last updated Dec 31st, 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 1639384894 NPPES
New Hampshire MEDICAID 30705291
New Hampshire Other 3060883

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