Walgreens #13947

LBN: Walgreen Co
Walgreens #13947 is an health care organization with primary practice located at 1415 Chapel St , New Haven CT 06511-4421. 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 (203) 777-7880, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
1415 Chapel St New Haven CT 06511-4421
Fax:
Website:
Authorized official contact:
Name: Sweeten, Alyssa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PCY.0002200 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1255633905
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #13947
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2010
Last updated Jan 16th, 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 1255633905 NPPES
Connecticut MEDICAID 008026248
Connecticut Other 0722240

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