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Contact Information

WALGREEN CO
237 JEFFERSON AVE.
NEW LONDON, CT06320
 Phone: 860-443-8439
 Fax:
 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
Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI # 1275754566
LBN Legal business name WALGREEN CO
Authorized official KERMIT CRAWFORD - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/02/2007
Last updated 01/14/2009 - About 17 years ago
Identifiers
CT Medicaid 004268505 DME
CT Medicaid 004268539
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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