Walgreens #12795

LBN: Walgreen Co
Walgreens #12795 is an health care organization with primary practice located at 3510 Richland Ave W , Aiken SC 29801-6312. 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 (803) 641-6959, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
3510 Richland Ave W Aiken SC 29801-6312
Fax:
Website:
Authorized official contact:
Name: Nielsen, Alan T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 10662 South Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356674931
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12795
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 14th, 2009
Last updated Oct 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356674931 NPPES
Other 4229185 NCPDP
MEDICAID 71572D NCPDP
MEDICAID DE3246 NCPDP

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