Rite Aid #11811

LBN: Walgreen Co
Rite Aid #11811 is an health care organization with primary practice located at 4470 Nelson Brogdon Blvd , Sugar Hill GA 30518-3477. 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 (770) 945-7691, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
4470 Nelson Brogdon Blvd Sugar Hill GA 30518-3477
Phone: (770) 945-7691
Fax: (770) 614-8102
Website:
Map and Directions
Authorized official contact:
Name: Sweeten, Alyssa
Phone: (217) 709-2386

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE010450 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306360714
LBN Legal business name Walgreen Co
DBA Doing business as Rite Aid #11811
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2017
Last updated Apr 30th, 2018 - about 7 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 1306360714 NPPES
Georgia Other 1170783 NCPDP
Georgia MEDICAID 00196754A NCPDP

Popular Providers