Walgreens #12639

LBN: Walgreen Co
Walgreens #12639 is an health care organization with primary practice located at 4690 S Holladay Blvd , Salt Lake City UT 84117-5243. 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 (509) 943-9121, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
4690 S Holladay Blvd Salt Lake City UT 84117-5243
Fax:
Website:
Authorized official contact:
Name: Nielsen, Alan T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 6971842-1703 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1275705493
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12639
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2008
Last updated Apr 28th, 2016 - about 8 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 1275705493 NPPES
Other 4611023 NCPDP
MEDICAID 1275705493 NCPDP

Popular Providers