Rite Aid #1630

LBN: Walgreen Co
Rite Aid #1630 is an health care organization with primary practice located at 4205 Beulah Rd Chestertown Square Shopping Center, North Chesterfield VA 23237-1449. 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 (804) 271-7207, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
4205 Beulah Rd Chestertown Square Shopping Center North Chesterfield VA 23237-1449
Phone: (804) 271-7207
Fax: (804) 743-0633
Website:
Map and Directions
Authorized official contact:
Name: Sweeten, Alyssa
Phone: (217) 709-2386

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 020100271 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1750806675
LBN Legal business name Walgreen Co
DBA Doing business as Rite Aid #1630
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 11th, 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 1750806675 NPPES
Virginia MEDICAID 1750806675
Virginia Other 4848656

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