Walgreens #17490

LBN: Walgreen Co
Walgreens #17490 is an health care organization with primary practice located at 78 Main Ave , Passaic NJ 07055-4466. 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 (973) 778-0510, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
78 Main Ave Passaic NJ 07055-4466
Fax: (973) 778-4985
Website:
Authorized official contact:
Name: Sweeten, Alyssa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 28RS00331200 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1184140816
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #17490
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 15th, 2017
Last updated Jun 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184140816 NPPES
New Jersey MEDICAID 0611565
New Jersey Other 3153462

Popular Providers