Walgreens # 12857

LBN: Walgreen Co
Walgreens # 12857 is an health care organization with primary practice located at 200 Eagleview Blvd , Exton PA 19341-1157. 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 (610) 594-3567, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
200 Eagleview Blvd Exton PA 19341-1157
Fax:
Website:
Authorized official contact:
Name: Sweeten, Alyssa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PP482082 Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1992012777
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens # 12857
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2010
Last updated Feb 1st, 2019 - about 5 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 1992012777 NPPES
Other 3994363 NCPDP
MEDICAID 1007669700158 NCPDP

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