Walgreens #12325

LBN: Walgreen Co
Walgreens #12325 is an health care organization with primary practice located at 616 Forest Ave , Portland ME 04101-1510. 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 (207) 761-9454, or through Garza, Virginia via phone (217) 709-2364.

Contact Information

Primary practice address
616 Forest Ave Portland ME 04101-1510
Phone: (207) 761-9454
Fax: (207) 761-9462
Website:
Map and Directions
Authorized official contact:
Name: Garza, Virginia
Phone: (217) 709-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH50001390 Maine
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770816704
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #12325
Authorized official Garza, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 9th, 2009
Last updated Jun 19th, 2024 - about 3 months 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 1770816704 NPPES
Other 2008426 NCPDP

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