Walgreens #11027

LBN: Walgreen Co
Walgreens #11027 is an health care organization with primary practice located at 230 S Broadway , Pennsville NJ 08070-2724. 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 (856) 678-2224, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
230 S Broadway Pennsville NJ 08070-2724
Fax: (856) 678-5102
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 28RS00465800 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1053337345
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #11027
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2006
Last updated Nov 7th, 2023 - about last year

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 1053337345 NPPES
Delaware MEDICAID 0000374707
Delaware Other 3132925
Delaware MEDICAID 5038707

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