Walgreens #09656

LBN: Walgreen Co.
Walgreens #09656 is an health care organization with primary practice located at 1131 S Glendora Ave , West Covina CA 91790-4955. 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 (626) 338-0904, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
1131 S Glendora Ave West Covina CA 91790-4955
Phone: (626) 338-0904
Fax:
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 PHY48877 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770770489
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #09656
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 2007
Last updated Oct 8th, 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 1770770489 NPPES
California MEDICAID 1770770489
California Other 5628358
California MEDICAID PHA488770

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