Electric Boat Pharmacy

LBN: Walgreen Eastern Co Inc
Electric Boat Pharmacy is an health care organization with primary practice located at 100 Romano Vineyard Way , North Kingstown RI 02852. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Eastern Co Inc can be contacted via phone (401) 295-5791, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
100 Romano Vineyard Way North Kingstown RI 02852
Fax: (401) 295-5872
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHA00506 Rhode Island
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1194919597
LBN Legal business name Walgreen Eastern Co Inc
DBA Doing business as Electric Boat Pharmacy
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2007
Last updated May 6th, 2022 - about 2 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 1194919597 NPPES
Other 4106971 NCPDP PROVIDER IDENTIFICATION NUMBER

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