Walgreens #03703
LBN: Walgreen Eastern Co Inc
Walgreens #03703 is an health care organization with primary practice located at 354 Admiral St , Providence RI 02908-2537. 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 (401) 331-2636, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
354 Admiral St
Providence RI 02908-2537
Phone: (401) 331-2636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 7979 | Rhode Island |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1891702841 |
|---|---|
| LBN Legal business name | Walgreen Eastern Co Inc |
| DBA Doing business as | Walgreens #03703 |
| Authorized official | Taylor, Kira |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Oct 27th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891702841 | NPPES |
| Rhode Island | MEDICAID | WE20110 | |
| Rhode Island | Other | 4105652 | |
| Rhode Island | MEDICAID | 1670166 DME |
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