Walgreens #02858
LBN: Walgreen Eastern Co Inc
Walgreens #02858 is an health care organization with primary practice located at 633 Washington St , Middletown CT 06457-2542. 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 (860) 346-7682, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
633 Washington St
Middletown CT 06457-2542
Phone: (860) 346-7682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 1511 | Connecticut |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1639184989 |
|---|---|
| LBN Legal business name | Walgreen Eastern Co Inc |
| DBA Doing business as | Walgreens #02858 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639184989 | NPPES |
| Other | 0715396 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 940004135829 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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