Electric Boat Family Pharmacy #16491

LBN: Walgreen Co
Electric Boat Family Pharmacy #16491 is an health care organization with primary practice located at 32 Chicago Ave , Groton CT 06340-4962. 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 (860) 405-0771, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
32 Chicago Ave Groton CT 06340-4962
Phone: (860) 405-0771
Fax: (860) 405-0760
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PCY.0002155 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1841513165
LBN Legal business name Walgreen Co
DBA Doing business as Electric Boat Family Pharmacy #16491
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 2nd, 2010
Last updated May 6th, 2022 - about 3 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 1841513165 NPPES
Connecticut Other 0721743 NCPDP
Connecticut MEDICAID 008026192 NCPDP

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