Walgreens #01824

LBN: Walgreen Eastern Co Inc
Walgreens #01824 is an health care organization with primary practice located at 30 Hazard Ave , Enfield CT 06082-3713. 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 / Community/Retail Pharmacy is the primary health care specialty. Walgreen Eastern Co Inc can be contacted via phone (860) 741-3503, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
30 Hazard Ave Enfield CT 06082-3713
Phone: (860) 741-3503
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sweeten, Alyssa
Phone: (217) 709-2386

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 1267 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104831452
LBN Legal business name Walgreen Eastern Co Inc
DBA Doing business as Walgreens #01824
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Jan 14th, 2019 - about 6 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 1104831452 NPPES
Connecticut MEDICAID 004230710 DME
Connecticut Other 0711792
Connecticut MEDICAID 940004068193

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