Walgreens #04734
LBN: Walgreen Co
Walgreens #04734 is an health care organization with primary practice located at 719 S State Road 19 , Palatka FL 32177-3946. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Walgreen Co can be contacted via phone (386) 328-6787, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
719 S State Road 19
Palatka FL 32177-3946
Phone: (386) 328-6787
Fax: (386) 328-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PH0007661 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1043225246 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #04734 |
| Authorized official | Taylor, Kira L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Apr 13th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043225246 | NPPES |
| Florida | MEDICAID | 104641100 | |
| Florida | MEDICAID | 104641101 DME | |
| Florida | Other | 1041134 |
Popular Providers
-
Wal-Mart Stores East Lp
1024 S State Road 19 , Palatka FL 32177-9000 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Holiday Cvs Llc
238 Us Highway 17 , East Palatka FL 32131-6059 -
Alphamed Llc
4109 Crill Ave , Palatka FL 32177-8559 -
Holiday Cvs Llc
201 S State Road 19 , Palatka FL 32177-3937 -
Professional Pharmacy Of Pennsburg Inc
931 Main St , Pennsburg PA 18073-1603 -
Rural Health Care, Incorporated
1302 River St , Palatka FL 32177-5042 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542