Walgreens #17797

LBN: Walgreen Co
Walgreens #17797 is an health care organization with primary practice located at 432 Bergen St , Harrison NJ 07029-2291. 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 (973) 483-5336, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
432 Bergen St Harrison NJ 07029-2291
Fax: (973) 483-6541
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 28RS00300500 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033633094
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #17797
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 2017
Last updated May 16th, 2022 - about 2 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 1033633094 NPPES
New Jersey MEDICAID 0611026
New Jersey Other 3153563

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