Walgreens #12604 is an authorized DME supplier for medicare equipments and products.
Walgreens #12604 is a Pharmacy in Atlanta, Georgia. This pharmacy is owned and operated by Walgreen Co. This organization is also known as sub part of Walgreens Boots Alliance Inc. It is located at 340 Boulevard Ne Ste 143, Atlanta and it's customer support contact number is 404-525-8256. The authorized person of Walgreens #12604 is Mr. Alan T Nielsen who is Treasurer of the pharmacy and his contact number is 847-315-3523. Active license number of Walgreens #12604 is PHRE009535 for Pharmacy in Georgia. Walgreens #12604 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Walgreens #12604 is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Walgreens #12604 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Walgreens #12604
Type:
Pharmacy
Location:
340 Boulevard Ne Ste 143, Atlanta, Georgia, 30312-1278
Phone:
404-525-8256
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Alan T Nielsen
Position:
Treasurer
Contact Number:
847-315-3523
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1710143169
Parent Organization:
Walgreens Boots Alliance Inc
NPI Enumeration Date:
05 Aug, 2008
NPI Last Update On:
13 Jan, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walgreens #12604 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
PHRE009535
Georgia
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1157684
Other
Ncpdp
842024867A
Medicaid
Georgia
842024867B
Other
Georgia
Medicaid Dme
Medicare Enrollment:
Walgreens #12604 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0941278253
O20100930012252
Walgreen Co
DME SUPPLIER - PHARMACY
Products Available:
Walgreens #12604 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1901 E Voorhees St, Ms #790 Danville, Illinois
Zip:
61834-4509
Phone Number:
217-709-2386
Fax Number:
217-709-2344
Patients can reach Walgreens #12604 at 340 Boulevard Ne Ste 143, Atlanta, Georgia or can call on customer care at 404-525-8256.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Atlanta, Georgia
Walgreens #19823 Address: 2498 Cumberland Pkwy Se, Atlanta, GA Phone: 770-432-1533 Fax: 770-432-5559Cvs Pharmacy #04747 Address: 1544 Piedmont Ave Ne, Atlanta, GA Phone: 404-892-0074 Jencare Senior Medical Center Hammond Park Speciality:Non-Pharmacy Dispensing Site Address: 2720 Metropolitan Pkwy Sw, Atlanta, GA Phone: 404-905-9200 Fax: 404-815-4330Cvs Pharmacy #17129 Address: 100 Perimeter Center Pl Ne, Atlanta, GA Phone: 678-259-0889 Fax: 678-259-0889Cvs Pharmacy #17251 Address: 2539 Piedmont Rd Ne, Atlanta, GA Phone: 404-720-1083 Fax: 404-720-1083Community, A Walgreens Pharmacy #15304 Address: 1874 Piedmont Ave Ne Ste 100a, Atlanta, GA Phone: 404-733-6800 Fax: 404-733-6880