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
Phone: (732) 607-7510
Fax: (732) 607-7516
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124543913 | NPPES |
New Jersey | Other | 3154111 | NCPDP |
New Jersey | MEDICAID | 0610232 | NCPDP |
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