Alliancerx Walgreens Prime #12314

LBN: Walgreens Specialty Pharmacy Llc
Alliancerx Walgreens Prime #12314 is an health care organization with primary practice located at 9775 Sw Gemini Dr Ste 1, Beaverton OR 97008. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreens Specialty Pharmacy Llc can be contacted via phone (866) 202-4014, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
9775 Sw Gemini Dr Ste 1 Beaverton OR 97008
Phone: (866) 202-4014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP-0002419 Oregon
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1669668752
LBN Legal business name Walgreens Specialty Pharmacy Llc
DBA Doing business as Alliancerx Walgreens Prime #12314
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 2007
Last updated May 11th, 2021 - about 5 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 1669668752 NPPES
Utah MEDICAID 1669668752
Utah MEDICAID 1669668752
Utah Other 3842944
Utah MEDICAID 3842944
Utah MEDICAID 1028445
Utah MEDICAID 1092434
Utah MEDICAID 1669668752
Utah MEDICAID 1669668752
Utah MEDICAID 278926
Utah MEDICAID 457263
Utah MEDICAID 1669668752
Utah MEDICAID 685274-01
Utah MEDICAID 7100277090
Utah MEDICAID 37104811
Utah MEDICAID 554205700
Utah MEDICAID 1669668752
Utah MEDICAID 200135400A
Utah MEDICAID 320618
Utah MEDICAID 44039751
Utah MEDICAID 1669668752
Utah MEDICAID 200923000A
Utah MEDICAID 0216467
Utah MEDICAID 1021135430001
Utah MEDICAID 200333400E
Utah MEDICAID 7R2419

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