Rite Aid #16711

LBN: Walgreen Co
Rite Aid #16711 is an health care organization with primary practice located at 200 Rockcastle Rd , Inez KY 41224. 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 (217) 709-2386, or through Nielsen, Alan via phone (847) 315-3523.

Contact Information

Primary practice address
200 Rockcastle Rd Inez KY 41224
Phone: (217) 709-2386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Alan
Phone: (847) 315-3523

Health care specialties

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

Profile Details

NPI number 1821511189
LBN Legal business name Walgreen Co
DBA Doing business as Rite Aid #16711
Authorized official Nielsen, Alan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2017
Last updated Apr 2nd, 2018 - about 7 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 1821511189 NPPES
Kentucky MEDICAID 7100507680
Kentucky Other PO7944

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