Waglreens #12572

LBN: Walgreen Co
Waglreens #12572 is an health care organization with primary practice located at 12000 Sunrise Valley Dr , Reston VA 20191-3403. 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 (703) 476-6512, or through Crawford, Kermit R via phone (847) 315-3154.

Contact Information

Primary practice address
12000 Sunrise Valley Dr Reston VA 20191-3403
Phone: (703) 476-6512
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Kermit R
Phone: (847) 315-3154

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0201004208 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679758049
LBN Legal business name Walgreen Co
DBA Doing business as Waglreens #12572
Authorized official Crawford, Kermit R
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 4th, 2008
Last updated Dec 15th, 2011 - about 13 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 1679758049 NPPES
Virginia MEDICAID 1679758049
Virginia Other 4840701

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