Community, A Walgreens Pharmacy #21185

LBN: Walgreen Co
Community, A Walgreens Pharmacy #21185 is an health care organization with primary practice located at 100 Retreat Ave Ste 105 , Hartford CT 06106-2528. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (860) 595-1813, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
100 Retreat Ave Ste 105 Hartford CT 06106-2528
Phone: (860) 595-1813
Fax: (860) 595-1852
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
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1750620308
LBN Legal business name Walgreen Co
DBA Doing business as Community, A Walgreens Pharmacy #21185
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 1st, 2013
Last updated Jun 13th, 2022 - about 4 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 1750620308 NPPES
Connecticut Other 0723040 NCPDP
Connecticut MEDICAID 008043529 NCPDP

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