Walgreens #17879

LBN: Walgreen Co
Walgreens #17879 is an health care organization with primary practice located at 3891 Route 516 , Old Bridge NJ 08857-2499. 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 (732) 607-7510, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
3891 Route 516 Old Bridge NJ 08857-2499
Fax: (732) 607-7516
Website:
Authorized official contact:
Name: Sweeten, Alyssa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 28RS00608700 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124543913
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #17879
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 14th, 2017
Last updated Sep 27th, 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 1124543913 NPPES
New Jersey Other 3154111 NCPDP
New Jersey MEDICAID 0610232 NCPDP

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