Walgreens #03016

LBN: Walgreen Eastern Co Inc
Walgreens #03016 is an health care organization with primary practice located at 416 Warren St , Roxbury MA 02119-1831. 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 Eastern Co Inc can be contacted via phone (617) 541-0310, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
416 Warren St Roxbury MA 02119-1831
Phone: (617) 541-0310
Fax: (617) 445-0624
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 2277 Massachusetts
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427063627
LBN Legal business name Walgreen Eastern Co Inc
DBA Doing business as Walgreens #03016
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated Oct 27th, 2023 - about last year

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 1427063627 NPPES
Massachusetts MEDICAID 0441333
Massachusetts Other 2233358
Massachusetts MEDICAID 110000112H

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