Walgreens #11605

LBN: Walgreen Co.
Walgreens #11605 is an health care organization with primary practice located at 73 Center St , Shelton CT 06484-3243. 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) 924-7740, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
73 Center St Shelton CT 06484-3243
Fax:
Website:
Authorized official contact:
Name: Nielsen, Alan T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PCY0001682 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1598986788
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11605
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date May 2nd, 2007
Last updated Jan 11th, 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 1598986788 NPPES
Other 0720816 NCPDP
MEDICAID 004270500 DME NCPDP
MEDICAID 004270518 NCPDP

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