Community, A Walgreens #21180

LBN: Walgreen Co
Community, A Walgreens #21180 is an health care organization with primary practice located at 60 Bank St Ste 100 , Waterbury CT 06702-2203. 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) 753-1116, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
60 Bank St Ste 100 Waterbury CT 06702-2203
Phone: (203) 753-1116
Fax: (203) 753-1117
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PCY0001723 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1407069610
LBN Legal business name Walgreen Co
DBA Doing business as Community, A Walgreens #21180
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date May 7th, 2007
Last updated Jun 13th, 2022 - about 2 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 1407069610 NPPES
Connecticut MEDICAID 004269850
Connecticut Other 0720777
Connecticut MEDICAID 004269842

Popular Providers