Walgreens #19707

LBN: Walgreen Co
Walgreens #19707 is an health care organization with primary practice located at 1723 Pacific Ave , Atlantic City NJ 08401-6808. 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 (609) 345-1158, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
1723 Pacific Ave Atlantic City NJ 08401-6808
Phone: (609) 345-1158
Fax: (609) 345-2740
Website:
Map and Directions
Authorized official contact:
Name: Sweeten, Alyssa
Phone: (217) 709-2386

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 28RS00500900 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124542303
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #19707
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2017
Last updated Oct 18th, 2019 - 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 1124542303 NPPES
New Jersey MEDICAID 0614637
New Jersey Other 3154440

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