Walgreens #04145
LBN: Walgreen Eastern Co, Inc
Walgreens #04145 is an health care organization with primary practice located at 533 Elmwood Ave , Providence RI 02907-1758. 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) 781-7930, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
533 Elmwood Ave
Providence RI 02907-1758
Phone: (401) 781-7930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 226 | Rhode Island |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1912912080 |
|---|---|
| LBN Legal business name | Walgreen Eastern Co, Inc |
| DBA Doing business as | Walgreens #04145 |
| Authorized official | Taylor, Kira L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Mar 31st, 2022 - about 3 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 | 1912912080 | NPPES |
| Rhode Island | MEDICAID | 1670164 | |
| Rhode Island | MEDICAID | WE21208 | |
| Rhode Island | Other | 4105703 |
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