Organization Name: | WALGREENS |
NPI Number: | 1033513171 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN COLLAZZI (DISTRICT MANAGER) |
Mailing Address: | 2395 John Kennedy Blvd Jersey City |
State: | NJ US |
Postal Code: | 07304 |
Phone Number: | 2013334092 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 28RI03666400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |