Community, A Walgreens Pharmacy #21155
LBN: Walgreen Co
Community, A Walgreens Pharmacy #21155 is an health care organization with primary practice located at 5966 S Dixie Hwy Ste 103B , South Miami FL 33143-5194. 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 (786) 582-6366, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
5966 S Dixie Hwy Ste 103B
South Miami FL 33143-5194
Phone: (786) 582-6366
Fax: (786) 582-6368
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Pharmacy | 333600000X | PH31474 | Florida |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1134627805 |
---|---|
LBN Legal business name | Walgreen Co |
DBA Doing business as | Community, A Walgreens Pharmacy #21155 |
Authorized official | Taylor, Kira |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jan 29th, 2018 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134627805 | NPPES |
Florida | MEDICAID | 100260601 | |
Florida | Other | 1134627805 | |
Florida | MEDICAID | 100260600 |
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