Walgreens #06428

LBN: Walgreen Co
Walgreens #06428 is an health care organization with primary practice located at 15385 N Dysart Rd , El Mirage AZ 85335-9761. 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 (623) 583-8248, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
15385 N Dysart Rd El Mirage AZ 85335-9761
Phone: (623) 583-8248
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 Y03447 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1780699033
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #06428
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Dec 1st, 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 1780699033 NPPES
Other 0326226 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 362312887507 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 619124 OTHER ID NUMBER-COMMERCIAL NUMBER

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