Walgreens #07636

LBN: Walgreen Co
Walgreens #07636 is an health care organization with primary practice located at 1402 Miamisburg Centerville Rd , Centerville OH 45459-3802. 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 (937) 291-2741, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
1402 Miamisburg Centerville Rd Centerville OH 45459-3802
Fax: (937) 291-2840
Website:
Authorized official contact:
Name: Nielsen, Alan T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 21432950 Ohio
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1053328070
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #07636
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Dec 28th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053328070 NPPES
Ohio MEDICAID 2464104
Ohio Other 3672347

Popular Providers