Walgreens #10802

LBN: Walgreen Co
Walgreens #10802 is an health care organization with primary practice located at 328 Rhode Island Ave , Fall River MA 02721-2330. 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 (508) 324-9490, or through Badgley, Lisa via phone (847) 315-3012.

Contact Information

Primary practice address
328 Rhode Island Ave Fall River MA 02721-2330
Fax: (508) 324-9496
Website:
Authorized official contact:
Name: Badgley, Lisa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 3558 Massachusetts
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1912190554
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10802
Authorized official Badgley, Lisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2007
Last updated Mar 11th, 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 1912190554 NPPES
Massachusetts MEDICAID 110078014B
Massachusetts Other 2242028

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