Walgreens #05178

LBN: Walgreen Co
Walgreens #05178 is an health care organization with primary practice located at 5205 Red Bug Lake Rd , Winter Springs FL 32708-4911. 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 (407) 696-2242, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
5205 Red Bug Lake Rd Winter Springs FL 32708-4911
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH0010922 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1073520094
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #05178
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073520094 NPPES
Other 1063306 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100866800 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100866801 DME OTHER ID NUMBER-COMMERCIAL NUMBER

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