Rite Aid #1671

LBN: Walgreen Co
Rite Aid #1671 is an health care organization with primary practice located at 1103 W Screven St , Quitman GA 31643. 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 (229) 263-4455, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
1103 W Screven St Quitman GA 31643
Fax: (229) 263-6483
Website:
Authorized official contact:
Name: Sweeten, Alyssa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE010500 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386168938
LBN Legal business name Walgreen Co
DBA Doing business as Rite Aid #1671
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 26th, 2017
Last updated Apr 30th, 2018 - about 6 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 1386168938 NPPES
Georgia MEDICAID 00313167A
Georgia Other 1170579

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