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Contact Information

WALGREEN CO
1216 NORTH ST
BAYONNE, NJ07002-1241
 Phone: 201-436-6268
 Fax: 201-436-1078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Dialysis Equipment & Supplies

332BD1200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI Number 1184148884
LBN Legal business name WALGREEN CO
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/03/2017
Last updated 06/09/2022 - About 4 years ago
Identifiers
NJ License # 28RS00507300
NJ Medicaid 0611581
NJ Other 3153917 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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