Walgreens #19328

LBN: Walgreen Co
Walgreens #19328 is an health care organization with primary practice located at 2160 State Route 9 , Lake George NY 12845-6120. 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 (518) 668-0043, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
2160 State Route 9 Lake George NY 12845-6120
Fax: (518) 668-0051
Website:
Authorized official contact:
Name: Garza, Virginia

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 036152 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1093239923
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #19328
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2017
Last updated Jun 5th, 2024 - about 5 months 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 1093239923 NPPES
New York MEDICAID 05055803
New York Other 5821865

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