Walgreens #03035

LBN: Walgreen Co
Walgreens #03035 is an health care organization with primary practice located at 6201 Central Ave Ne , Albuquerque NM 87108-1806. 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 (505) 217-9907, or through Crawford, Kermit R. via phone (847) 914-3154.

Contact Information

Primary practice address
6201 Central Ave Ne Albuquerque NM 87108-1806
Phone: (505) 217-9907
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Kermit R.
Phone: (847) 914-3154

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P1313 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1720093628
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #03035
Authorized official Crawford, Kermit R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Jun 11th, 2008 - about 18 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 1720093628 NPPES
Louisiana MEDICAID 1210382
Louisiana MEDICAID 36265973003
Louisiana MEDICAID 56754
Louisiana Other 3200083

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