Walgreens #17490 is not a DME supplier for medicare equipments and products.
Walgreens #17490 is a Pharmacy in Passaic, New Jersey. 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 78 Main Ave, Passaic and it's customer support contact number is 973-778-0510. The authorized person of Walgreens #17490 is Alyssa Sweeten who is Manager of the pharmacy and his contact number is 217-709-2386. Active license number of Walgreens #17490 is 28RS00331200 for Pharmacy in New Jersey. Walgreens #17490 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 #17490 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 #17490
Type:
Pharmacy
Location:
78 Main Ave, Passaic, New Jersey, 07055-4466
Phone:
973-778-0510
Fax:
973-778-4985
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:
Alyssa Sweeten
Position:
Manager
Contact Number:
217-709-2386
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:
1184140816
Parent Organization:
Walgreens Boots Alliance Inc
NPI Enumeration Date:
15 Aug, 2017
NPI Last Update On:
27 Jun, 2019
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 #17490 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
28RS00331200
New Jersey
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
0611565
Medicaid
New Jersey
3153462
Other
New Jersey
Ncpdp
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 #17490 at 78 Main Ave, Passaic, New Jersey or can call on customer care at 973-778-0510.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.