Walgreens #11653

LBN: Walgreen Co.
Walgreens #11653 is an health care organization with primary practice located at 1320 Encinitas Blvd , Encinitas CA 92024-2844. 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 (760) 942-2018, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1320 Encinitas Blvd Encinitas CA 92024-2844
Fax: (760) 942-2664
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 50143 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1083941637
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11653
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 3rd, 2009
Last updated Oct 27th, 2023 - about last year

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 1083941637 NPPES
Other 5636393 NCPDP
MEDICAID 1083941637 NCPDP

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