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Contact Information

WALGREEN EASTERN CO INC
100 ROMANO VINEYARD WAY
NORTH KINGSTOWN, RI02852
 Phone: 401-295-5791
 Fax: 401-295-5872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WALGREEN EASTERN CO INC

NPI Number 1194919597
LBN Legal business name WALGREEN EASTERN CO INC
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/29/2007
Last updated 05/06/2022 - About 4 years ago
Identifiers
RI License # PHA00506
Other 4106971 NCPDP PROVIDER IDENTIFICATION NUMBER
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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